Body Details Management, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BODY DETAILS MANAGEMENT, LLC

Practice address

801 N Federal Hwy
Boca Raton, FL 33432-2737

Phone

(561) 727-1025

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

David Sharaf, MD

Title

Medical Director

Phone

(954) 712-8861

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fadela Amine

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1548908866
  NPD (past)

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1902263817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322737",
            "telephone_number": "561-727-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322737",
            "telephone_number": "561-727-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY DETAILS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "SHARAF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-712-8861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bocacare Inc
• Laurence Scott Bocian, P.T.
• Raymond Alvaro Bocksel Jr., DDS
• Gregory Robert Boco, DPM
• Constance Marie Boczarski, D.C.
• Body in Motion & Wellness Corp
• Body Kneads Medical Inc
• James Boellner, CSFA
• Irene Boginsky, DO
• David Parker Bogue, M.D.

• Medical Specialty Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.