Individual
DR. BENJAMIN LEE BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 535-7953
Mailing address
1455 N TREASURE DR, UNIT 5G, NORTH BAY VILLAGE, FL 33141-4140
(386) 589-5539
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
UO3447
FL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
34.013289
OH
Other
Enumeration date
09/11/2013
Last updated
11/30/2020
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