Individual
DR. STEVEN O BOSSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME133392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110641700
—
FL
01
—
NX715
MEDICARE HF
FL
Enumeration date
12/09/2005
Last updated
11/15/2023
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