Organization
BOSWELL MEDICAL GROUP, P.A.
Active
Organization
BOSWELL MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN WANG (CHIEF ADMINISTRATIVE OFFICER)
(832) 420-7667
Entity
Organization
Contact information
Practice address
333 SE 2ND AVE STE 2000, MIAMI, FL 33131-2185
(401) 300-5222
Mailing address
333 SE 2ND AVE STE 2000, MIAMI, FL 33131-2185
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/27/2024
Last updated
11/15/2024
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