Individual
CESAR ANTONIO BOZA GAITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 VONDERBURG DR STE 102, BRANDON, FL 33511-5968
(813) 681-5658
(813) 681-5250
Mailing address
500 VONDERBURG DR STE 102, BRANDON, FL 33511-5968
(813) 681-5658
(813) 681-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME183058
FL
208D00000X
General Practice Physician
Primary
24523
PR
Other
Enumeration date
07/05/2022
Last updated
07/15/2026
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