Robert L Boltuch Dopa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0004902 Issued in FL

Legal business name

ROBERT L BOLTUCH DOPA

Practice address

2695 N Military TRL
Suite # 17
West Palm Beach, FL 33409-2974

Phone

(561) 689-2110

Fax

(561) 689-2032

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sintra Boltuch

Title

Adminstrator

Phone

(561) 689-2110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maria I Andrakovich, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
  • NPI 1770689259
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1457524704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 N MILITARY TRL",
            "address_2": "SUITE # 17",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092974",
            "telephone_number": "561-689-2110",
            "fax_number": "561-689-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 N MILITARY TRL",
            "address_2": "SUITE # 17",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092974",
            "telephone_number": "561-689-2110",
            "fax_number": "561-689-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L BOLTUCH DOPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BOLTUCH",
        "authorized_official_first_name": "SINTRA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "561-689-2110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0004902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clive E Roberson, MD
• Robert a Weiss, MD PA
• Robert a. Brodner, MD, PA
• Robert a. Gardner, MD, PA
• Robert D Burke MD PL
• Robert L. Bentz II DO
• Robert S Raymond MD Inc
• Robert S Scoma MD PA
• Robert T. Hayden M.D.,P.a.
• Brooke Gail Roberts, M. ED.

• Family Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.