MEDICARE: BRENDA BOSMAN

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	225200000X	Physical Therapy Assistant	PTA1797	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PTA1797	OTHER	FL	LICENSE #

General Provider Information

NPI Number	:	1457460685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA BOSMAN

Provider Business Mailing Address
First Line	:	1919 NE 15TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3260
Country	:	US
Telephone Number	:	954-563-1923
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 S FEDERAL HWY
Second Line	:	BAY 12&13
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2686
Country	:	US
Telephone Number	:	954-462-6005
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497925879 — HEIKE VON KAHLE
Practice Location Address:

1555 S FEDERAL HWY
FORT LAUDERDALE, FL
33316-2686

Practice Phone: 954-462-6005
Practice Fax:

1215178686 — ELDA MARTINEZ PT
Practice Location Address:

1555 S FEDERAL HWY
FT LAUDERDALE, FL
33316-2686

Practice Phone: 954-462-6005
Practice Fax:

1851607758 — DAWN BEARDEN O.D.
Practice Location Address:

1567 S FEDERAL HWY
FT LAUDERDALE, FL
33316-2686

Practice Phone: 954-763-2842
Practice Fax: 954-763-2850

1275907057 — MATTHEW BAIRD
Practice Location Address:

1555 S FEDERAL HWY
FORT LAUDERDALE, FL
33316-2686

Practice Phone: 954-462-6005
Practice Fax: 954-462-3002

1780567768 — DR. RALPH MARTIN ELIE PHARMD
Practice Location Address:

2686 SW 36TH ST
FT LAUDERDALE, FL
33312-5005

Practice Phone: 954-455-3822
Practice Fax:

1992755078 — DR. DALE ARTHUR NICHOLS D.D.S.
Practice Location Address:

1811 ARMY BLVD BLDG 2018
FORT SAM HOUSTON, TX
78234-2686

Practice Phone: 512-665-7744
Practice Fax:

Directions to “ BRENDA BOSMAN ” 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 © 2007-2025 (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.