Provider Demographics
NPI:1083618748
Name:CLAUDIO V. BOCADO, M.D., P.A.
Entity Type:Organization
Organization Name:CLAUDIO V. BOCADO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIO
Authorized Official - Middle Name:V
Authorized Official - Last Name:BOCADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-615-1261
Mailing Address - Street 1:13801 BRUCE B DOWNS BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3937
Mailing Address - Country:US
Mailing Address - Phone:813-615-1261
Mailing Address - Fax:813-615-1262
Practice Address - Street 1:13801 BRUCE B DOWNS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3937
Practice Address - Country:US
Practice Address - Phone:813-615-1261
Practice Address - Fax:813-615-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87559207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7965514OtherAETNA
P00067786OtherMEDICARE RAIL ROAD
78794OtherBLUE CROSS/BLUE SHIELD
FL1887521OtherUNITED HEALTH CARE
FL270976700Medicaid
FL1887521OtherUNITED HEALTH CARE
P00067786OtherMEDICARE RAIL ROAD