Boydstun, Ivy
Boydstun, Ivy is an individual health care provider with primary practice located at 1131 N 35Th Ave Fl 2 , Hollywood FL 33021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Boydstun, Ivy can be contacted via phone (954) 265-9344.Contact Information
Primary practice address
1131 N 35Th Ave Fl 2
Hollywood FL 33021
Phone: (954) 265-9344
Fax: (954) 986-5122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | ME101007 | Florida |
Profile Details
| NPI number | 1285671628 |
|---|---|
| LBN Legal business name | Boydstun, Ivy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 17th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285671628 | NPPES |
| Florida | MEDICAID | 000070000 |
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