Individual
MICHAEL BOAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323-3207
(954) 754-5407
(954) 851-9688
Mailing address
14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323-3207
(954) 754-5407
(954) 851-9688
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11005769
FL
Other
Enumeration date
12/26/2019
Last updated
02/05/2025
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