Individual
MICHAEL BOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1807 SE 8TH AVE, CAPE CORAL, FL 33990-2399
(727) 954-0125
Mailing address
1807 SE 8TH AVE, CAPE CORAL, FL 33990-2399
(727) 954-0125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
PT31170
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT31170
FL
Other
Enumeration date
12/07/2015
Last updated
05/25/2023
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