Individual
LOURDES TERESA BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
351 NW LEJEUNE RD, SUITE 401, MIAMI, FL 33126-5683
(305) 642-2600
Mailing address
351 NW LEJEUNE RD, SUITE 406, MIAMI, FL 33126-5683
(305) 642-2600
(305) 261-0603
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 43744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053081600
—
FL
Enumeration date
11/22/2005
Last updated
08/14/2013
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