Individual
IDRIS BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3330 NW 63RD ST, FORT LAUDERDALE, FL 33309-1611
(954) 825-8295
Mailing address
PO BOX 590342, FORT LAUDERDALE, FL 33359-0342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5155630
FL
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us