Organization
MARIANNA PEDIATRIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOYLE LON BOSSE MD (DOCTOR OWNER)
(850) 482-2004
Entity
Organization
Contact information
Practice address
4230 HOSPITAL DR, STE 102, MARIANNA, FL 32446-1934
(850) 482-2004
(850) 482-4778
Mailing address
4230 HOSPITAL DR, STE 102, MARIANNA, FL 32446-1934
(850) 482-2004
(850) 482-4778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259181200
—
FL
Enumeration date
10/13/2006
Last updated
06/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up