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Individual

HAL LESLIE BOZOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2540 WINKLER AVE, STE 2, FORT MYERS, FL 33901-9338
(239) 278-4100
(239) 278-3907
Mailing address
2540 WINKLER AVE, FORT MYERS, FL 33901-9338
(239) 278-4100
(239) 278-3907

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0001658
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340443900
FL
Enumeration date
05/31/2005
Last updated
04/22/2008
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