Individual
BODEN JAMES PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8600
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02008108A
IN
Other
Enumeration date
03/22/2023
Last updated
07/08/2026
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