JUSTIN BOCCARDO


Address: 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800
Phone: 7725955302

JUSTIN BOCCARDO (NPI# 1598887275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598887275
Entity Type Individual
Full Name JUSTIN BOCCARDO
Credential M.D.
Practice Address 2401 Frist Blvd Ste 4
Fort Pierce
FL 34950-4800
Practice Telephone 7725955302
Practice Fax Number 7725955304
Mailing Telephone 7725955302
Mailing Fax Number 7725955304
Enumeration Date 2007-04-04
Last Update Date 2020-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
ME125876 FL Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
MD432316 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 102479013 0001 05

Office Location

Street Address 2401 FRIST BLVD STE 4
City FORT PIERCE
State FL
Zip Code 34950-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669565693 Danielle Dean Physician Assistant 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 2006-10-02
1841805686 Leslie Ann Cooper Physician Assistant 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 2020-09-09
1255813911 David Mcneely Roberts Physician Assistant 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950 2018-08-29
1356665251 Bo Wang Surgery 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 2010-03-22
1922275866 Christopher L Binette Surgery 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 2008-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659853018 New Day Counseling & Wellness, LLC Clinic/Center 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 2018-09-03
1548749351 Jaber's Pharmacy, Inc. Pharmacy 2210 Orange Ave, Fort Pierce, FL 34950 2018-08-13
1386139699 Pas Substance Abuse, Inc. Substance Abuse Rehabilitation Facility 2017 Avenue D, Fort Pierce, FL 34950 2018-06-28
1629573134 Southeastern Dme LLC Durable Medical Equipment & Medical Supplies 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 2018-03-27
1962903666 Serenity Dme LLC Durable Medical Equipment & Medical Supplies 111 N 2nd St Ste 101, Fort Pierce, FL 34950 2018-02-27
1417463068 Ryan Nippes Counselor 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1639685282 Valencia Worrell Counselor 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1194173153 Angel French Massage Therapist 101 North Us1, Suite 117, Fort Pierce, FL 34950 2016-06-01
1780052951 Alison Hess Physician Assistant 1700 S. 23rd St, Fort Pierce, FL 34950 2015-09-04
1629329784 Dr. Rhaina A Smeds, Psyd Inc. Psychologist 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 2012-09-28
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437144870 Kenneth G Bridges Surgery 2402 Frist Blvd, Suite 203, Fort Pierce, FL 34950-4838 2005-09-13
1356665251 Bo Wang Surgery 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 2010-03-22
1922275866 Christopher L Binette Surgery 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 2008-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104394857 George Scott Hall Sr. Surgery 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 2018-11-09
1316413115 Fox Vascular Experts, LLC Surgery 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 2018-10-18
1114417508 Vascular Center of Naples Inc. Surgery 5490 Bryson Dr Ste 201, Naples, FL 34109 2018-05-11
1598267593 Joseph D Stillword, Md Surgery 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 2018-03-06
1386157006 Beatriz Lam Surgery 2001 West 68 St, Cvicu, Hialeah, FL 33016 2017-11-16
1811421092 Sunrise Vascular Center Surgery 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 2017-04-14
1962891838 Global Trauma Systems, Inc Surgery 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 2015-01-15
1184013450 Vas-q-lar, Inc Surgery 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 2015-01-09
1396147138 Usa Vein Clinics of Miami, LLC Surgery 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 2014-09-24
1114336021 Florida Vein Center, Inc Surgery 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 2014-08-05
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Competitor

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City FORT PIERCE
Zip Code 34950

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Dataset Information

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.

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