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NPI Code Detail

MEDICARE: ENRIQUE BOSCH

MEDICARE:   ENRIQUE  BOSCH
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
1104100000XSocial WorkerCBHCM102164FL

General Provider Information

NPI Number : 1194220905
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENRIQUE BOSCH
Provider Business Mailing Address
First Line : 2965 SW 18TH ST
Second Line : APT 301
City : MIAMI
State : FL
Zip : 33145-3240
Country : US
Telephone Number : 561-255-6529
Fax Number :
Provider Business Practice Location Address
First Line : 2965 SW 18TH ST
Second Line : APT 301
City : MIAMI
State : FL
Zip : 33145-3240
Country : US
Telephone Number : 561-255-6529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 06/30/2020

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Directions to “ ENRIQUE BOSCH ” Practice Location

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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.