Boston Medical Care LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

BOSTON MEDICAL CARE LLC

Practice address

3903 Dr Martin Luther King Blvd
Fort Myers, FL 33916-4805

Phone

(239) 851-7500

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Elise G Lewis, REGISTERED

Title

Operations Manager

Phone

(239) 206-1200

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1245936293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 DR MARTIN LUTHER KING BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164805",
            "telephone_number": "239-851-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 DR MARTIN LUTHER KING BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164805",
            "telephone_number": "239-851-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "239-206-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679209142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Borrero - Ojeda, PHD
• Daniel Jacob Bosco, PT
• Daniela Renae Bosquez, PA
• Cora Lynn Bostick
• Sydney Claire Bostock
• Conor Robert Boston
• Margaret Theresa Boswell, PA
• Diozzel Botelho
• Nestor Botta Gonzalez
• Bottoms Up Medical Systems Inc.

• All providers in Fort Myers, FL
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.