Individual provider · Type 1 NPI

Joanah C. Bodero, P.A.

Surgical Physician Assistant · Miami Beach, FL

NPI number 1316100571 Active

Practice location

4302 Alton Rd, Suite 830
Miami Beach, FL 33140-2891

Fax (954) 964-6084

Mailing address

PO Box 816759
Hollywood, FL 33081-0759

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9104352 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1316100571

Joanah C. Bodero, P.A.'s National Provider Identifier is 1316100571, issued on Jul 8, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Miami Beach, FL. The record was last updated on Jul 8, 2008.