Individual
DR. KAMAL I BOHSALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1577 ROBERTS DR, SUITE 225, JACKSONVILLE BEACH, FL 32250-3264
(904) 241-1204
(904) 241-7331
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
050868
GA
207X00000X
Orthopaedic Surgery Physician
M1028
TX
207X00000X
Orthopaedic Surgery Physician
Primary
ME95144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016294500
—
FL
Enumeration date
08/01/2005
Last updated
11/16/2020
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