Individual
DR. SUSAN JANE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1840 MEASE DR, SUITE 104, SAFETY HARBOR, FL 34695-6602
(727) 725-6283
(727) 725-6215
Mailing address
PO BOX 1698, CLEARWATER, FL 33757-1698
(727) 532-0002
(727) 532-1318
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME101236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281252500
—
FL
01
—
P00670337
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
07/03/2007
Last updated
03/09/2009
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