Active NPI
De Zago Medical Services, Inc.
- Primary Care Clinic/Center
- Boca Raton, FL
National Provider Identifier
1750532628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ARNP9174274
- Legal business name
- DE ZAGO MEDICAL SERVICES, INC.
- Practice address
- 9980 Central Park Blvd N
Suite 118
Boca Raton, FL 33428-1762 - Phone
- (561) 487-0550
- Fax
- (561) 883-2639
- NPI assigned
- Oct 8, 2008
- Last updated
- Oct 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Marie A De Zago, ARNP
- Title
- President
- Phone
- (954) 609-0753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ARNP9174274 | FL | Primary |
Addresses
Primary practice location
9980 Central Park Blvd N
Suite 118
Boca Raton, FL 33428-1762
Mailing address
3697 Asperwood Cir
Coconut Creek, FL 33073-2259
Phone (954) 609-0753
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1750532628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3697 ASPERWOOD CIR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732259",
"telephone_number": "954-609-0753",
"fax_number": "954-427-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 CENTRAL PARK BLVD N",
"address_2": "SUITE 118",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281762",
"telephone_number": "561-487-0550",
"fax_number": "561-883-2639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE ZAGO MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "DE ZAGO",
"authorized_official_first_name": "LINDA MARIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-609-0753",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ARNP9174274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.