Provider Demographics
NPI:1225430010
Name:BCOT ASSESSMENT & SERVICES, INC
Entity Type:Organization
Organization Name:BCOT ASSESSMENT & SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAITS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:954-328-1505
Mailing Address - Street 1:8956 NW 34TH STREET
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8710
Mailing Address - Country:US
Mailing Address - Phone:954-328-1505
Mailing Address - Fax:954-443-8576
Practice Address - Street 1:2450 HOLLYWOOD BLVD
Practice Address - Street 2:STE. 605
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6627
Practice Address - Country:US
Practice Address - Phone:954-328-1505
Practice Address - Fax:954-443-8576
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BCOT ASSESSMENT & SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8318261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine