Organization
EDWARD L BOSHNICK OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L BOSHNICK OD (OPTOMETRIST)
(305) 271-8206
Entity
Organization
Contact information
Practice address
7800 SW 87TH AVE, SUITE B-270, MIAMI, FL 33173-3570
(305) 271-8206
(305) 271-8209
Mailing address
7800 SW 87TH AVE, SUITE B-270, MIAMI, FL 33173-3570
(305) 271-8206
(305) 271-8209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084349100
—
FL
01
—
19524
MEDICARE PTAN
FL
Enumeration date
11/23/2010
Last updated
01/18/2011
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