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Individual

ROBERT B BOSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2320 N ORANGE AVE, ORLANDO, FL 32804
(407) 896-0054
(407) 898-4463
Mailing address
2320 N ORANGE AVE, ORLANDO, FL 32804
(407) 896-0054
(407) 898-4463

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62323
TN
207RC0000X
Cardiovascular Disease Physician
Primary
ME34881
FL
207RI0011X
Interventional Cardiology Physician
62323
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103554500
FL
Enumeration date
10/02/2006
Last updated
08/27/2019
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