Organization Active NPI

Family Foot and Ankle of Boca Raton P a

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1336250075
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PO2831 Issued in FL
Legal business name
FAMILY FOOT AND ANKLE OF BOCA RATON P A
Practice address
5458 Town Center Rd
Suite 23 Med-Plex BLDG.
Boca Raton, FL 33486-1089
Phone
(561) 391-4142
Fax
(561) 391-4102
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Marie A. Bovarnick, DPM
Title
Owner
Phone
(561) 241-7763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PO2831 FL Primary

Addresses

Primary practice location

5458 Town Center Rd
Suite 23 Med-Plex BLDG.
Boca Raton, FL 33486-1089

Mailing address

6642 NW 25TH CT
Boca Raton, FL 33496-2016
Phone (561) 241-7763

National Provider Directory

National Provider Directory

Locations

5458 Town Center Rd
Ste 23
Boca Raton, FL 33486
Phone (561) 391-4142

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1336250075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 NW 25TH CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962016",
            "telephone_number": "561-241-7763",
            "fax_number": "561-241-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 23 MED-PLEX BLDG.",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-391-4142",
            "fax_number": "561-391-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE OF BOCA RATON P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "BOVARNICK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-241-7763",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PO2831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.