Provider Demographics
NPI:1780766949
Name:BOCADO, CLAUDIO V (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:V
Last Name:BOCADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAUDIO
Other - Middle Name:V
Other - Last Name:BOCADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13801 BRUCE B DOWNS BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3937
Mailing Address - Country:US
Mailing Address - Phone:813-615-1261
Mailing Address - Fax:813-615-1262
Practice Address - Street 1:13801 BRUCE B DOWNS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3937
Practice Address - Country:US
Practice Address - Phone:813-615-1261
Practice Address - Fax:813-615-1262
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87559207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270976700Medicaid
FL7965514OtherAETNA
FL78794OtherBCBS
FL1887521OtherUNITED HEALTH CARE
FL1887521OtherUNITED HEALTH CARE
FL78794OtherBCBS