West Boca Vascular Surgery P a

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

OS8138 Issued in FL

Legal business name

WEST BOCA VASCULAR SURGERY P A

Practice address

3467 W Hillsboro Blvd
Deerfield Beach, FL 33442-9421

Phone

(561) 483-3989

NPI assigned

Jun 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammed Abdallah, MD

Title

Owner

Phone

(561) 483-3989

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Anthony Jimenez, MD

  • Surgery Physician
  • Margate, FL
  • NPI 1861713943
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1023050416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970818",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334970818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429421",
            "telephone_number": "561-483-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOCA VASCULAR SURGERY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-483-3989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS8138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Wells, BT
• Savannah G Welton
• Wu Wen, M.D.
• Tatiana Wesbur
• Olivia Wesch
• Jamilia West-Colvin
• Lauren S. West, MHS, PA-C
• Erin Sage Westerbeke
• Madelin Marrero Westerfeld, PSYD
• Kaitlyn Wheatley

• Vascular Surgery Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.