Organization
HAL BOZOF, DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL L BOZOF DPM (PRESIDENT)
(239) 278-4100
Entity
Organization
Contact information
Practice address
2540 WINKLER AVE, FORT MYERS, FL 33901-9338
(239) 278-4100
(239) 278-3907
Mailing address
2540 WINKLER AVE, FORT MYERS, FL 33901-9338
(239) 278-4100
(239) 278-3907
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340443900
—
FL
01
—
74835
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
10/17/2011
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