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

Boston Medical Group, Inc

Organization Urology Physician · NPI 1720406440

Boston Medical Group, Inc is an Urology Physician in Fort Lauderdale, 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

4901 N.w 17th Way Ste 202
Fort Lauderdale, FL 33309
Phone: (954) 229-1969
Fax: (954) 229-1994
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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 number1720406440
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 address4901 N.W. 17th Way, Suite 202, Fort Lauderdale, FL 33309

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