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NPI Code Detail

MEDICARE: DAVID ROBERT BOESLER D.O.

MEDICARE: DAVID ROBERT BOESLER 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
1204D00000XNeuromusculoskeletal Medicine & OMM Physician02365IA
2204D00000XNeuromusculoskeletal Medicine & OMM PhysicianOS9892FL

Other Identifiers

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

General Provider Information

NPI Number : 1740272400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ROBERT BOESLER D.O.
Provider Business Mailing Address
First Line : 871 NW 85TH TER
Second Line : # 1719
City : PLANTATION
State : FL
Zip : 33324-1249
Country : US
Telephone Number : 515-770-4291
Fax Number :
Provider Business Practice Location Address
First Line : 3200 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 954-262-4316
Fax Number : 515-262-3538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/08/2007

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Directions to “ DAVID ROBERT BOESLER D.O.” Practice Location

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