MEDICARE: GEORGETTA BOSCO LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	7112	FL

General Provider Information

NPI Number	:	1104907542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGETTA BOSCO LMHC

Provider Business Mailing Address
First Line	:	3910 NORTHDALE BLVD STE 208
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1800
Country	:	US
Telephone Number	:	813-964-5792
Fax Number	:	813-961-5919

Provider Business Practice Location Address
First Line	:	3910 NORTHDALE BLVD STE 208
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1800
Country	:	US
Telephone Number	:	813-964-5792
Fax Number	:	813-961-5919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1407785967 — ASHLEY TRIMBOLI
Practice Location Address:

3910 NORTHDALE BLVD STE 210
TAMPA, FL
33624-1800

Practice Phone: 877-823-4283
Practice Fax:

1174460463 — ALYSSA VILA
Practice Location Address:

3910 NORTHDALE BLVD STE 210
TAMPA, FL
33624-1800

Practice Phone: 877-823-4283
Practice Fax:

1023003258 — TROY MICHAEL STERK D.O.
Practice Location Address:

3910 NORTHDALE BLVD STE 206
TAMPA, FL
33624-1800

Practice Phone: 813-264-7922
Practice Fax: 813-264-6585

1366509754 — JAKKI BOSCO LMT
Practice Location Address:

3910 NORTHDALE BLVD , SUITE 208
TAMPA, FL
33624-1800

Practice Phone: 813-298-5603
Practice Fax:

1497898282 — MR. LON DAVID LYNN D.O.
Practice Location Address:

3910 NORTHDALE BLVD STE 206
TAMPA, FL
33624-1800

Practice Phone: 813-264-7922
Practice Fax: 813-264-6585

1740309939 — CINDY B. HARDWICK, LLC
Practice Location Address:

3910 NORTHDALE BLVD STE 208
TAMPA, FL
33624-1800

Practice Phone: 813-964-5792
Practice Fax: 813-961-5919

Directions to “ GEORGETTA BOSCO LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.