Hope Medical PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOPE MEDICAL PA

Practice address

11419 W Palmetto Park Rd
Unit 97081
Boca Raton, FL 33497-2501

Phone

(561) 843-8460

Fax

(561) 922-3211

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Wayne S Blake, DO

Title

DO/Owner

Phone

(561) 843-8460

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1942823711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11419 W PALMETTO PARK RD UNIT 97081",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334972501",
            "telephone_number": "561-843-8460",
            "fax_number": "561-922-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11419 W PALMETTO PARK RD",
            "address_2": "UNIT 97081",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334972501",
            "telephone_number": "561-843-8460",
            "fax_number": "561-922-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "561-843-8460",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS10255",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, 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 May 27, 2020; 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.