Individual provider · Type 1 NPI

Bruce Bostom, PHYSICIANS ASSISTANT

Physician Assistant · Fort Lauderdale, FL

NPI number 1881707156 Active

Practice location

6550 N Federal Hwy, Suite 512
Fort Lauderdale, FL 33308-1404

Fax (954) 772-7801

Mailing address

PO Box 70533
Fort Lauderdale, FL 33307-0533

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA3374 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1881707156

Bruce Bostom, PHYSICIANS ASSISTANT's National Provider Identifier is 1881707156, issued on Aug 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 8, 2007.