Healthcare Provider Details

I. General information

NPI: 1285545848
Provider Name (Legal Business Name): ACCEUS BOSSOUS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 41ST STREET OCEAN
MARATHON FL
33050-2373
US

IV. Provider business mailing address

206 AVENUE G
KEY WEST FL
33040-5406
US

V. Phone/Fax

Practice location:
  • Phone: 305-434-7660
  • Fax:
Mailing address:
  • Phone: 786-560-6810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9582945
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: