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Contact Information

BOCASA GOURMET, LLC.
4709 SW 72ND AVE
MIAMI, FL33155
 Phone: 305-519-3895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BOCASA GOURMET, LLC.

NPI # 1447635271
LBN Legal business name BOCASA GOURMET, LLC.
Authorized official LIZBET DOMINGUEZ VILA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2015
Last updated 01/30/2025 - More than a year ago
Identifiers
FL Medicaid 015597700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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