4D Healthware Virtual Specialty Care LLC
Organization Active NPI General Practice Physician · Boca Raton, FL
NPI 1508558412 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1508558412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- 4D HEALTHWARE VIRTUAL SPECIALTY CARE LLC
- Practice address
- 17880 Key Vista Way
Boca Raton, FL 33496-1040 - Phone
- (407) 361-1044
- NPI assigned
- May 22, 2023
- Organization subpart
- No
Authorized official
- Name
- Jonathan Hinds, MD
- Title
- Owner
- Phone
- (407) 361-1044
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
17880 Key Vista Way
Boca Raton, FL 33496-1040
Mailing address
9858 Clint Moore Rd Ste C111
Boca Raton, FL 33496-1044
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.