Individual
JACOB BODWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
Mailing address
770 CLAUGHTON ISLAND DR APT 810, MIAMI, FL 33131-2627
(952) 239-1766
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA734
FL
Other
Enumeration date
09/12/2022
Last updated
09/13/2022
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