Bozof, Hal Leslie

Bozof, Hal Leslie is an individual health care provider with primary practice located at 2540 Winkler Ave Ste 2, Fort Myers FL 33901-9338. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bozof, Hal Leslie can be contacted via phone (239) 278-4100.

Contact Information

Primary practice address
2540 Winkler Ave Ste 2 Fort Myers FL 33901-9338
Phone: (239) 278-4100
Fax: (239) 278-3907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO0001658 Florida

Profile Details

NPI number 1346243748
LBN Legal business name Bozof, Hal Leslie
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Apr 22nd, 2008 - about 18 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 1346243748 NPPES
Florida MEDICAID 340443900

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