Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boston Medical Group, Inc

Organization Urology Physician · NPI 1174941884

Boston Medical Group, Inc is an Urology Physician in Maitland, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 N Lake Destiny Dr Ste 120
Maitland, FL 32751
Phone: (407) 951-8795
Fax: (407) 951-8796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1174941884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quoc Ha — Director · (949) 735-8451
NPI enumeratedMarch 31, 2014
Last updated in NPPESMarch 31, 2014
Mailing address1001 N. Lake Destiny Drive, Suite 120, Maitland, FL 32751

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