Luke Maxwell Bote'

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117948 Issued in FL

Practice address

10870 US-1 Ste. 104
Ponte Vedra Beach, FL 32081

Phone

(904) 438-2720

NPI assigned

Aug 8, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597

  Physician Assistant

  Medicare reassignment NPD
• Urgent Care Cure LLC

  • Urgent Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1881182335
  Medicare reassignment NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164
  NPD
• Urgent Care Cure, LLC

  • Urgent Care Clinic/Center
  • Saint Augustine, FL
  • NPI 1205608569
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1235812207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 US-1 STE. 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32081",
            "telephone_number": "904-438-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 US-1 STE. 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32081",
            "telephone_number": "904-438-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTE'",
        "first_name": "LUKE",
        "middle_name": "MAXWELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Blackmon, PH.D.
• Blankenship Dental at Oakleaf PA
• Merralee Block, LMHC
• Sean Block
• Bombora Therapy, LLC
• Blake William Boudreaux, MD
• Clarence E Boudreaux, M.D.
• Molly Ann Bowie, B.S.
• Bowman Optometry, PA
• Samuel Todd Bowman, OD

• Physician Assistant in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.