Jakki Bosco, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA45584 Issued in FL

Practice address

3910 Northdale Blvd
Suite 208
Tampa, FL 33624-1800

Phone

(813) 298-5603

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366509754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 ESCORT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336103451",
            "telephone_number": "813-298-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 NORTHDALE BLVD",
            "address_2": "SUITE 208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241800",
            "telephone_number": "813-298-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCO",
        "first_name": "JAKKI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA45584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF PROVIDER NUMBER",
            "identifier": "C4124",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Claire Borrelli, HAS
• Ivan Marques Borrello, M.D.
• Maria Elisa Borrero, MA
• Joseph James Boscarino, PSYD
• Georgetta Bosco, LMHC
• Renee Marie Bosler, R. D.
• Susana L. Bosques, CRNP
• Boss 1 LLC
• Hegel Boss
• Aaron D Bossler, MD PHD

• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.