Individual
ANDRE PIERRE BOEZAART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-3441
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-3441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MFC1619
FL
207L00000X
Anesthesiology Physician
SP130
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
SP130
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239749
—
IA
05
—
279611200
—
FL
01
—
28602
WELLMARK BCBS
IA
Enumeration date
09/28/2005
Last updated
06/20/2008
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