Provider Demographics
NPI:1215927496
Name:DEL BOCA, ADRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:DEL BOCA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:SUITE 804-E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-270-2331
Mailing Address - Fax:305-270-9729
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:SUITE 804-E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-270-2331
Practice Address - Fax:305-270-9729
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 81011174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51614OtherBLUE CROSS/BLUE SHIELD
FL10023OtherVISTA
FL275345OtherAVMED
FL173259OtherWELL CARE
FL34757OtherNEIGHBORHOOD HEALTH PARTN
FL702531OtherUNITED HEALTH CARE
FLH37774Medicare UPIN
FL51614OtherBLUE CROSS/BLUE SHIELD
FL10023OtherVISTA