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

Florida Atlantic University

Organization Family Medicine Physician · NPI 1134510688

Florida Atlantic University is a Family Medicine Physician in Boca Raton, Florida. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

777 Glades Rd Dept OF Atlhletics
Boca Raton, FL 33431-6424
Phone: (800) 555-9073
Fax: (972) 367-3452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1134510688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (800) 555-9073
Other names Fau Sports Medicine
NPI enumeratedFebruary 5, 2015
Last updated in NPPESFebruary 5, 2015
Mailing address777 Glades Rd, Boca Raton, FL 33431-6424

Other providers in Boca Raton