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Individual

DR. EDWARD LESLIE BOSHNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
7800 SW 87TH AVE, SUITE B-270, MIAMI, FL 33173-3570
(305) 271-8206
(305) 271-8209
Mailing address
9960 SW 129 ST, MIAMI, FL 33176
(305) 232-2093
(305) 233-3145

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
909
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084349100
FL
01
3052644400
DR BOSHNICK VISION PLAN
FL
Enumeration date
12/19/2006
Last updated
11/23/2010
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