Provider Demographics
NPI:1508187956
Name:ACCIDENT & INJURY CARE CTR OF BOCA RATON, P.A
Entity Type:Organization
Organization Name:ACCIDENT & INJURY CARE CTR OF BOCA RATON, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:POCES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-544-5900
Mailing Address - Street 1:6485 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3154
Mailing Address - Country:US
Mailing Address - Phone:561-544-5900
Mailing Address - Fax:561-544-5289
Practice Address - Street 1:6485 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-3154
Practice Address - Country:US
Practice Address - Phone:561-544-5900
Practice Address - Fax:561-544-5289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH4400OtherSTATE LICENSE