Boston Medical Group, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BOSTON MEDICAL GROUP, INC.

Practice address

1001 N. Lake Destiny Drive
Suite 120
Maitland, FL 32751

Phone

(407) 951-8795

Fax

(407) 951-8796

NPI assigned

Mar 31, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Quoc H. Ha

Title

Director

Phone

(949) 735-8451

Specialties & licenses 1

Addresses

Tax ID family

Boston Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Boston Medical Group, Inc.

  • Urology Physician
  • Coral Gables, FL
  • NPI 1255759965
  NPD tax ID
• Boston Medical Group, Inc.

  • Urology Physician
  • Fort Lauderdale, FL
  • NPI 1720406440
  NPD tax ID

Locations

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1174941884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N. LAKE DESTINY DRIVE",
            "address_2": "SUITE 120",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-951-8795",
            "fax_number": "407-951-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N. LAKE DESTINY DRIVE",
            "address_2": "SUITE 120",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-951-8795",
            "fax_number": "407-951-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "QUOC",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-735-8451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Bonelli, MA, LMFT, LMHC, NBCC
• Jakel Bonhomme
• Taylor Elizabeth Bonnick
• Robyn Borders
• Vedrana Bosnjak
• Stella Valerie Bourassa
• Frankie Gail Bowker, LMT
• Laura Elizabeth Bowman, LMHC
• Rachel Bradach, M.A., CFY-SLP
• Rayna K Bradley

• Urology Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.