Organization
HS LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON ANTHONY BOSELLI JR. (PRESIDENT)
(904) 834-2679
Entity
Organization
Contact information
Practice address
1501 KINGS HWY, SUITE 5-303, SHREVEPORT, LA 71103-4228
(904) 834-2679
(904) 395-3249
Mailing address
3546 SAINT JOHNS BLUFF RD S, SUITE 113, JACKSONVILLE, FL 32224-2713
(904) 834-2679
(904) 395-3249
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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