Individual
FRED A BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
209 SHORE DR E, OLDSMAR, FL 34677-3707
(813) 855-0068
Mailing address
209 SHORE DR E, OLDSMAR, FL 34677-3707
(813) 855-0068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2729532
FL
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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