MEDICARE: DR. SCOTT BOYDMAN D.O.

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	207L00000X	Anesthesiology Physician	34003183B	OH
2	207L00000X	Anesthesiology Physician	OS10640	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306841986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT BOYDMAN D.O.

Provider Business Mailing Address
First Line	:	1901 ULMERTON RD
Second Line	:	SUITE 450
City	:	CLEARWATER
State	:	FL
Zip	:	33762-2300
Country	:	US
Telephone Number	:	727-573-7777
Fax Number	:	954-598-0966

Provider Business Practice Location Address
First Line	:	4800 LINTON BLVD
Second Line	:	BLDG B
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6584
Country	:	US
Telephone Number	:	561-495-9111
Fax Number	:

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	02/29/2016

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Directions to “ DR. SCOTT BOYDMAN D.O.” Practice Location

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