John Boden Md Llc

LBN: John Boden Md Llc
John Boden Md Llc is an health care organization with primary practice located at 6879 Us Highway 98 W , Santa Rosa Beach FL 32459-3257. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. John Boden Md Llc can be contacted via phone (850) 502-1363, or through Boden, John M via phone (850) 502-1363.

Contact Information

Primary practice address
6879 Us Highway 98 W Santa Rosa Beach FL 32459-3257
Phone: (850) 502-1363
Fax: (850) 837-4837
Website:
Map and Directions
Authorized official contact:
Name: Boden, John M Doctor of Medicine (MD)
Phone: (850) 502-1363

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME94719 Florida

Profile Details

NPI number 1275789711
LBN Legal business name John Boden Md Llc
DBA Doing business as
Authorized official Boden, John M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2008
Last updated Dec 22nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275789711 NPPES
Alabama MEDICAID 009912339
Alabama MEDICAID 044554100
Alabama MEDICAID 009912342

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