Provider Demographics
NPI:1801043948
Name:MEDICAL CENTER BPB INC
Entity Type:Organization
Organization Name:MEDICAL CENTER BPB INC
Other - Org Name:MEDICAL CENTER BPB INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:TERESI
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:561-353-1225
Mailing Address - Street 1:9960 CENTRAL PARK BLVD NORTH
Mailing Address - Street 2:SUITE #450
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428
Mailing Address - Country:US
Mailing Address - Phone:561-353-1225
Mailing Address - Fax:561-353-9958
Practice Address - Street 1:9960 CENTRAL PARK BLVD NORTH
Practice Address - Street 2:SUITE 450
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-353-1225
Practice Address - Fax:561-353-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85466207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty