Provider Demographics
NPI:1689799637
Name:NEUROLOGY CONSULTANTS OF BOCA RATON PA
Entity Type:Organization
Organization Name:NEUROLOGY CONSULTANTS OF BOCA RATON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:CEKHRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-750-7955
Mailing Address - Street 1:233 SOUTH FEDERAL HIGHWAY
Mailing Address - Street 2:#110
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432
Mailing Address - Country:US
Mailing Address - Phone:561-750-7955
Mailing Address - Fax:561-750-8163
Practice Address - Street 1:233 SOUTH FEDERAL HIGHWAY
Practice Address - Street 2:110
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432
Practice Address - Country:US
Practice Address - Phone:561-750-7955
Practice Address - Fax:561-750-8163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME823772084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51469OtherBCBS
FL51469OtherBCBS
FLK4150Medicare ID - Type Unspecified