Provider Demographics
NPI:1629050737
Name:ADRIAN DELBOCA, MD PA
Entity Type:Organization
Organization Name:ADRIAN DELBOCA, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL BOCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-270-2331
Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:# 804 EAST TOWER
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-270-2331
Mailing Address - Fax:305-270-9729
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:# 804 EAST TOWER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-270-2331
Practice Address - Fax:305-270-9729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4114Medicare ID - Type Unspecified