Dr Victor S Koo M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME37667 Issued in FL

Legal business name

DR VICTOR S KOO M.D., P.A.

Practice address

2800 S Seacrest Blvd
Suite 160
Boynton Beach, FL 33435-7960

Phone

(561) 736-3888

Fax

(561) 732-1737

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victor S Koo, M.D.

Title

President

Phone

(561) 736-3888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083783229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 160",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "561-736-3888",
            "fax_number": "561-732-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 160",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "561-736-3888",
            "fax_number": "561-732-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VICTOR S KOO M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-736-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME37667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.