Eliteveinsboca PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ELITEVEINSBOCA PLLC

Practice address

600 S Ocean Blvd Apt 204
Boca Raton, FL 33432-6242

Phone

(917) 693-2063

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Arden Radwaner, MD

Title

Owner

Phone

(917) 693-2063

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1427727619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S OCEAN BLVD APT 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326242",
            "telephone_number": "917-693-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S OCEAN BLVD APT 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326242",
            "telephone_number": "917-693-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEVEINSBOCA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "RADWANER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ARDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-693-2063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eliteveinsboca.com",
            "affiliation": "N",
            "address_1": "600 S Ocean Blvd Apt 204",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334326242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Cardiovascular Disease Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.