Organization
BOOST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RUTLEDGE (CEO)
(936) 648-5161
Entity
Organization
Contact information
Practice address
13798 NW 4TH ST STE 311, SUNRISE, FL 33325-6227
(754) 778-8235
Mailing address
13798 NW 4TH ST STE 311, SUNRISE, FL 33325-6227
(754) 778-8235
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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