John Boden Md Llc in Destin - Internal Medicine
John Boden Md Llc - NPI 1275789711
John Boden Md Llc is a Internal Medicine in Destin, Florida. John Boden Md Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Boden Md Llc is 1275789711. The last update date is 2008-12-22.
John Boden Md Llc's current location address is 42 Indian Bayou Dr, Destin, Florida. You can contact this provider via phone number 8505021363. The mailing address for John Boden Md Llc is 42 Indian Bayou Dr, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John Boden Md Llc |
|---|---|
| Address | 42 Indian Bayou Dr, Destin, Florida |
| Phone Number | 8505021363 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Boden M John |
| Credentials | M.D. |
| Telephone Number | 8505021363 |
NPI Number Detail
| NPI Number | 1275789711 |
|---|---|
| Provider Enumeration Date | 2008-08-15 |
| Last Updated Date | 2008-12-22 |
Provider Mailing Address Detail
| Address | 42 Indian Bayou Dr |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 325414447 |
| Phone Number | 8505021363 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME94719 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9912339 | AL | -- | |
| 44554100 | FL | -- | |
| 9912342 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Boden Md Llc by the Centers for Medicare & Medicaid Services (CMS)?
The John Boden Md Llc has been assigned the NPI (National Provider Identifier) 1275789711. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where John Boden Md Llc is physically located?
The John Boden Md Llc is physically situated at the following address: 42 Indian Bayou Dr, Destin, FL, 325414447.
What is the John Boden Md Llc's area of specialization and corresponding taxonomy classification?
The John Boden Md Llc's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275789711 to John Boden Md Llc?
The Centers for Medicare & Medicaid Services originally issued the 1275789711 to John Boden Md Llc on 2008-08-15.
When was the information related to John Boden Md Llc most recently updated or refreshed?
The details pertaining to the John Boden Md Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-12-22.
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