BRUCE BOSTOM

FT LAUDERDALE, FL
NPI1881707156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA3374)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Mr. BRUCE BOSTOM Physicians Assistant
6550 N FEDERAL HWY SUITE 512
FT LAUDERDALE, FL 33308-1404
Phone number: 954-267-8777
Mailing Address
Mr. BRUCE BOSTOM Physicians Assistant
PO BOX 70533
FT LAUDERDALE, FL 33307-0533
Phone number: 954-267-8777
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