Boss, Shawniece Devon

Boss, Shawniece Devon is an individual health care provider with primary practice located at 3210 Cove Bend Dr , Tampa FL 33613-2752. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Boss, Shawniece Devon can be contacted via phone (813) 972-4300.

Contact Information

Primary practice address
3210 Cove Bend Dr Tampa FL 33613-2752
Phone: (813) 972-4300
Fax: (813) 972-4180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4090 Florida

Profile Details

NPI number 1629463401
LBN Legal business name Boss, Shawniece Devon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated May 10th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1629463401 NPPES
Florida Other PO4090 STATE LICENSE

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