Reconnect Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RECONNECT CARE LLC

Practice address

4110 Key Lime Blvd
Boynton Beach, FL 33436-1608

Phone

(561) 414-9326

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Angela Ellen Opalak

Title

Manager

Phone

(561) 414-9326

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1831669241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 W AZURE DR STE 140-2536",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307999",
            "telephone_number": "561-414-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 KEY LIME BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361608",
            "telephone_number": "561-414-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "OPALAK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-414-9326"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.