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Individual

JOANAH C BODERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
4302 ALTON RD, SUITE 830, MIAMI BEACH, FL 33140-2891
(305) 674-2950
(954) 964-6084
Mailing address
PO BOX 816759, HOLLYWOOD, FL 33081-0759
(954) 964-2450
(954) 964-6084

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104352
FL

Other

Enumeration date
07/08/2008
Last updated
07/08/2008
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