# MJBOMAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Bridge Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851073449
- **Authorized official:** MICHAEL BOMAN PT, DPT (OWNER/MEMBER)
- **Authorized official phone:** (727) 954-0125

## Contact information

- **Practice address:** 1807 SE 8TH AVE, CAPE CORAL, FL 33990-2399
- **Practice address phone:** (727) 954-0125
- **Mailing address:** 1807 SE 8TH AVE, CAPE CORAL, FL 33990-2399
- **Mailing address phone:** (727) 954-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2023
- **Last updated:** 05/08/2024