Boss, Shawniece Devon
Boss, Shawniece Devon is an individual health care provider with primary practice located at 6707 38Th Ave N , St Petersburg FL 33710-1536. 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 (727) 800-9958.Contact Information
Primary practice address
6707 38Th Ave N
St Petersburg FL 33710-1536
Phone: (727) 800-9958
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 | Apr 15th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629463401 | NPPES |
| Florida | Other | PO4090 | STATE LICENSE |
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