Individual
EDWIN BOSA-OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3831 GRAND AVE, MIAMI, FL 33133-4862
(786) 245-2700
Mailing address
4781 SW 86TH TER, MIAMI, FL 33143-8605
(786) 245-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0045424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041775100
—
FL
Enumeration date
02/21/2006
Last updated
01/12/2017
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