Bruce Bostom in Ft Lauderdale - Physician Assistant

Bruce Bostom - NPI 1881707156

Bruce Bostom is a Physician Assistant in Ft Lauderdale, Florida. Bruce Bostom practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bruce Bostom is 1881707156. The last update date is 2007-07-08.

Bruce Bostom's current location address is Po Box 70533, Ft Lauderdale, Florida. You can contact this provider via phone number 9542678777 and fax number 9547727801. The mailing address for Bruce Bostom is Po Box 70533, Ft Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Bostom
Address Po Box 70533, Ft Lauderdale, Florida
Phone Number 9542678777
Fax Number 9547727801
Sole Proprietor N
Credentials PHYSICIANS

NPI Number Detail

NPI Number 1881707156
Provider Enumeration Date 2006-08-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 70533
City Ft Lauderdale
State Florida (FL)
Post Code 333070533
Phone Number 9542678777
Fax Number 9547727801

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA3374
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Bruce Bostom

What is the Bruce Bostom's unique identification number?

The Bruce Bostom has been assigned the NPI (National Provider Identifier) Number 1881707156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Bruce Bostom's physical address?

The Bruce Bostom is physically located at Po Box 70533, in the city of Ft Lauderdale, FL, with the postal code 333070533.

What is Bruce Bostom's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bruce Bostom's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

When did Bruce Bostom receive its 1881707156 assignment?

The Bruce Bostom was assigned its 1881707156 on 2006-08-17, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Bruce Bostom most recently updated or revised?

The information pertaining to Bruce Bostom, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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