Edwin, Micah Boaz

Edwin, Micah Boaz is an sole proprietor health care provider with primary practice located at 4850 W Oakland Park Blvd Ste 224 , Lauderdale Lakes FL 33313-7261. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Edwin, Micah Boaz can be contacted via phone (786) 214-2001.

Contact Information

Primary practice address
4850 W Oakland Park Blvd Ste 224 Lauderdale Lakes FL 33313-7261
Phone: (786) 214-2001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 261987 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME143503 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2010-01073 North Carolina

Profile Details

NPI number 1033430327
LBN Legal business name Edwin, Micah Boaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2010
Last updated Apr 8th, 2021 - about 3 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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