BMG of Florida PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BMG OF FLORIDA PA

Doing business as

Boston Medical Group

Practice address

106 Boston Ave Ste 204
Altamonte Springs, FL 32701-4712

Phone

(615) 562-4048

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By 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. Quoc Ha

Title

Director

Phone

(615) 562-4048

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boston Medical Group Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1649814393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23275 S POINTE DR STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531498",
            "telephone_number": "615-562-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOSTON AVE STE 204",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014712",
            "telephone_number": "615-562-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMG OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "QUOC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-562-4048",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UROLOGY",
            "identifier": "208800000X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drha@bsahq.com",
            "affiliation": "N",
            "endpointDescription": "physician secure site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 Boston Ave Ste 204",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327014712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boston Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Black Hearts Gallery
• Neal Blaher
• Rachel Bloomfield
• Stephanie Marie Boes, ARNP
• Melanie Bogus, MA, RMHCI
• Cynthia Mary Bologna, APRN
• Christopher Boltersdorf, PA-C
• Vasudeva R Bommineni, M.D.

• Urology Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.