Individual
DR. DEBASHISH BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DBOSE1
MD
2086X0206X
Surgical Oncology Physician
Primary
ME107615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002311800
—
FL
01
—
ME107615
MEDICAL LICENSE
FL
Enumeration date
01/23/2007
Last updated
11/09/2016
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