Individual
SHAWN EUGENE BOOMSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 NW 10TH AVE STE T-215, MIAMI, FL 33136
(305) 585-1852
Mailing address
1800 NW 10TH AVE STE T-215, MIAMI, FL 33136-1018
(305) 585-1852
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
273804
MA
207XX0801X
Orthopaedic Trauma Physician
273804
MA
207XX0801X
Orthopaedic Trauma Physician
Primary
OS16242
FL
Other
Enumeration date
07/05/2013
Last updated
10/13/2020
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