Bosa-Osorio, Edwin

Bosa-Osorio, Edwin is an sole proprietor health care provider with primary practice located at 3831 Grand Ave , Miami FL 33133-4862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bosa-Osorio, Edwin can be contacted via phone (786) 245-2700.

Contact Information

Primary practice address
3831 Grand Ave Miami FL 33133-4862
Phone: (786) 245-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0045424 Florida

Profile Details

NPI number 1144295213
LBN Legal business name Bosa-Osorio, Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Jan 12th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144295213 NPPES
Florida MEDICAID 041775100

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