Individual
JOHN W BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1100 NE 45TH ST, SUITE 102, OAKLAND PARK, FL 33334-3814
(954) 629-0250
(866) 240-3482
Mailing address
1100 NE 45TH ST, SUITE 102, OAKLAND PARK, FL 33334-3814
(954) 629-0250
(866) 240-3482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291430100
—
FL
01
—
Y04T2
BC BS FL
FL
Enumeration date
04/07/2006
Last updated
06/02/2015
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