Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idris Bozeman

Individual provider Licensed Practical Nurse · NPI 1275478273

Idris Bozeman is a Licensed Practical Nurse in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

3330 NW 63rd St
Fort Lauderdale, FL 33309-1611
Phone: (954) 825-8295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN5155630 (FL)

Record details

NPI number1275478273
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing addressPo Box 590342, Fort Lauderdale, FL 33359-0342

Other providers in Fort Lauderdale