Individual
DR. SHAWNIECE DEVON BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(727) 800-9958
Mailing address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(727) 800-9958
(555) 523-7768
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO4090
STATE LICENSE
FL
Enumeration date
03/30/2015
Last updated
04/15/2025
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