NPI Code Detail JSON Logo

1134560709 NPI number — DEAN MICHAEL BOSLEY M.D

NPI Number: 1134560709
Health Care Provider/Practitioner: DEAN MICHAEL BOSLEY M.D

Information about “1134560709” NPI (DEAN MICHAEL BOSLEY M.D) exists in 1134560709 in HTML format HTML  |  1134560709 in plain Text format TXT  |  1134560709 in PDF (Portable Document Format) PDF  |  1134560709 in an XML format XML  formats.

NPI Number : 1134560709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134560709",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOSLEY",
    "FirstName": "DEAN",
    "MiddleName": "MICHAEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4881 NW 8TH AVE",
    "SecondLineMailingAddress": "SUITE 2",
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32605-4582",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-416-1082",
    "MailingAddressFaxNumber": "352-373-6144",
    "FirstLinePracticeLocationAddress": "4343 W NEWBERRY RD",
    "SecondLinePracticeLocationAddress": "SUITE 13",
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32607-2824",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-332-7770",
    "PracticeLocationAddressFaxNumber": "352-332-1119",
    "EnumerationDate": "07/11/2013",
    "LastUpdateDate": "10/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "4301103936",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "ME155538",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "036.140831",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "ME155538",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "036140831",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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