Organization Active NPI

Medical Specialists of Boca Raton Inc

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1972473254
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL SPECIALISTS OF BOCA RATON INC
Practice address
1301 Riverplace Blvd Ste 1605
Jacksonville, FL 32207-9047
Phone
(877) 853-9925
NPI assigned
Nov 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Dr. Richard Vezina, DR
Title
Director
Phone
(877) 853-9925

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1301 Riverplace Blvd Ste 1605
Jacksonville, FL 32207-9047

Mailing address

1301 Riverplace Blvd Ste 1605
Jacksonville, FL 32207-9047
Phone (877) 853-9925

Other practice location 1

3 Burroughs Ste 286
Irvine, CA 92618-2804
Phone (877) 853-9925

National Provider Directory

National Provider Directory

Locations

3 Burroughs
Ste 286
Irvine, CA 92618
Phone (877) 853-9925

1301 Riverplace Blvd
Ste 1605
Jacksonville, FL 32207
Phone (877) 853-9925

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1972473254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIVERPLACE BLVD STE 1605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079047",
            "telephone_number": "877-853-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERPLACE BLVD STE 1605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079047",
            "telephone_number": "877-853-9925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Burroughs Ste 286",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926182804",
            "country_code": "US",
            "telephone_number": "877-853-9925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF BOCA RATON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "VEZINA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-853-9925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.