Provider Demographics
NPI:1124167986
Name:BILGA ATTAR MD PA
Entity type:Organization
Organization Name:BILGA ATTAR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILGA
Authorized Official - Middle Name:F
Authorized Official - Last Name:ATTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-750-8809
Mailing Address - Street 1:2800 S OCEAN BLVD
Mailing Address - Street 2:APT 20A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-8332
Mailing Address - Country:US
Mailing Address - Phone:561-750-8809
Mailing Address - Fax:561-347-1648
Practice Address - Street 1:2800 S OCEAN BLVD
Practice Address - Street 2:APT 20A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-8332
Practice Address - Country:US
Practice Address - Phone:561-750-8809
Practice Address - Fax:561-347-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 00603031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010065687OtherRAILROAD MEDICARE
FL23491OtherBLUE CROSS BLUE SHIELD OF FLA
FL23491AOtherMEDICARE INDIVIDUAL PIN
FL000604195OtherAPWU
FL0004626119OtherAETNA
FLN219688OtherWELLCARE
FLS1444OtherEMPIRE BLUE CROSS BLUE SHIELD
FL23491AOtherMEDICARE INDIVIDUAL PIN