Boada, Wilson Omar

Boada, Wilson Omar is an individual health care provider with primary practice located at 6218 Paddock Glen Dr Unit 104 , Tampa FL 33634-5364. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boada, Wilson Omar can be contacted via phone (787) 613-0282.

Contact Information

Primary practice address
6218 Paddock Glen Dr Unit 104 Tampa FL 33634-5364
Phone: (787) 613-0282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1487120945
LBN Legal business name Boada, Wilson Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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