Ivy Boydstun is a Pediatric Nephrology in Miramar, Florida. Ivy Boydstun practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Ivy Boydstun is 1285671628. The last update date is 2021-03-17.
Ivy Boydstun's current location address is 2900 Corporate Way, Miramar, Florida. You can contact this provider via phone number 9542765685 and fax number 9549857074. The mailing address for Ivy Boydstun is 2900 Corporate Way, Miramar, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy Boydstun |
|---|---|
| Address | 2900 Corporate Way, Miramar, Florida |
| Phone Number | 9542765685 |
| Fax Number | 9549857074 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285671628 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2021-03-17 |
Provider Mailing Address Detail
| Address | 2900 Corporate Way |
|---|---|
| City | Miramar |
| State | Florida (FL) |
| Post Code | 330253925 |
| Phone Number | 9542765685 |
| Fax Number | 9549857074 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Nephrology |
|---|---|
| Taxonomy | 2080P0210X |
| Licence No | ME101007 |
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Definition: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70000 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ivy Boydstun by the Centers for Medicare & Medicaid Services?
The Ivy Boydstun has been issued the NPI (National Provider Identifier) 1285671628. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ivy Boydstun?
The Ivy Boydstun is situated at 2900 Corporate Way, in the city of Miramar, state of FL, with the zip code 330253925.
What is Ivy Boydstun's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ivy Boydstun's area of specialization is Pediatric Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0210X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285671628 to Ivy Boydstun?
The Centers for Medicare & Medicaid Services originally issued the 1285671628 to Ivy Boydstun on 2006-06-02.
When was the information regarding Ivy Boydstun most recently updated?
The details pertaining to the Ivy Boydstun, including its address, specialty, and other relevant information, were last refreshed on 2021-03-17.