Individual
JOSHUA BOSLEY KIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 697-2200
(727) 863-8774
Mailing address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 697-2200
(727) 863-8774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006955
FL
363A00000X
Physician Assistant
Primary
5601006955
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601006955
STATE LICENSE
MI
Enumeration date
02/26/2014
Last updated
01/30/2026
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