East Medical Office

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC11133 Issued in FL

Legal business name

EAST MEDICAL OFFICE

Practice address

3778 W 12TH Ave
Hialeah, FL 33012-4126

Phone

(305) 510-1190

Fax

(786) 534-7238

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. David Boasc Sr.

Title

Precident

Phone

(305) 510-1190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/A Former legal business name

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801314190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3778 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-510-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3778 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124126",
            "telephone_number": "305-510-1190",
            "fax_number": "786-534-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOASC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRECIDENT",
        "authorized_official_telephone_number": "305-510-1190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC11133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE CLINIC",
            "identifier": "HCC1133",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• East Coast Medical Diagnostic Inc
• East Coast Medical Equipment
• East Coast Pathology Associates, PA
• East Coast Respiratory Equipment, Inc.
• East Hialeah Manor LLC (East Hialeah Place LLC)
• Eastcoast Transportation Company of South Florida LLC
• Easy Comfort Inc
• Easy Comfort Inc (Medwise Pharmacy)
• Easy Home Care Svces. Inc
• Bernice Lineth Ebanks Cooper

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.