Mr. Bruce Bostom, PHYSICIANSASSISTANT
Mr. Bruce Bostom, PHYSICIANSASSISTANT is a Physician Assistant in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
6550 N Federal Hwy Ste 512Ft Lauderdale, FL 33308-1404
Phone: (954) 267-8777
Fax: (954) 772-7801
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA3374 (FL) |
|---|
Record details
| NPI number | 1881707156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANSASSISTANT |
| Sole proprietor | No |
| NPI enumerated | August 17, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | Po Box 70533, Ft Lauderdale, FL 33307-0533 |
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