SEA GRAPE MEDICAL INC (NPI# 1598017725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598017725 |
| Entity Type | Organization |
| Organization Name | SEA GRAPE MEDICAL INC |
| Practice Address |
101 Se Mizner Blvd Boca Raton FL 33432-5007 |
| Practice Telephone | 5613918343 |
| Mailing Telephone | 5613918343 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | ARLENE SPERTUS (OWNER) |
| Authorized Official Telephone | 9545514072 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
ME54025 | FL | Ambulatory Health Care Facilities |
| Street Address |
101 SE MIZNER BLVD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1780056671 | Boca Urgent Care | Clinic/Center | 7001 N Federal Hwy Ste 700, Boca Raton, FL 33487-1612 | 2015-10-30 |
| 1801225396 | New Health Innovations, Inc | Clinic/Center | 1377 W Palmetto Park Rd, Boca Raton, FL 33486-3314 | 2013-11-05 |
| 1932455318 | Pbi Medical | Clinic/Center | 1022 Jeffery St, Boca Raton, FL 33487-4183 | 2012-08-03 |
| 1275780876 | Jack Pasula Dc Pa | Clinic/Center | 20925 Lyons Rd, Boca Raton, FL 33428-1423 | 2008-08-26 |
| 1679737977 | Injury and Rehab Specialists LLC | Clinic/Center | 21218 Saint Andrews Blvd, Suite 113, Boca Raton, FL 33433-2449 | 2008-07-15 |
| 1902010606 | Meiling Acupuncture & Herb Chinese Medical Center, Inc. | Clinic/Center | 24 Se 4th St, Boca Raton, FL 33432-6014 | 2007-05-10 |
| 1033732367 | Behavior Skills Training LLC | Clinic/Center | 433 Plaza Real Ste 275, Boca Raton, FL 33432-3999 | 2020-05-21 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
Please comment or provide details below to improve the information on SEA GRAPE MEDICAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.