Bosley Medical Group

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ME59524 Issued in FL

Legal business name

BOSLEY MEDICAL GROUP

Practice address

5355 Town Center Rd
Ste 402
Boca Raton, FL 33486-1005

Phone

(561) 391-1963

Fax

(561) 445-9967

NPI assigned

May 23, 2008

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy M Dean, M.D.

Title

Medical Doctor

Phone

(561) 391-1963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1649438912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 TOWN CENTER RD",
            "address_2": "STE 402",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861005",
            "telephone_number": "561-391-1963",
            "fax_number": "561-445-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 TOWN CENTER RD",
            "address_2": "STE 402",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861005",
            "telephone_number": "561-391-1963",
            "fax_number": "561-445-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSLEY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "561-391-1963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "ME59524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issar Bortman
• Angelina Borukhova, OD
• Ross Borzykowski, M.D.
• Joy Ann Boscove, CNM
• Nada Boskovic, M.D.
• Clara Frances Bossie Gonzalez, M.S. LMFT
• Lindsey Boston
• Nadine Boswell-Morival
• Diane Bosworth, PTA
• George Manuel Botelho, MD

• Ambulatory Surgical Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.