Richard Bosso
Individual provider Active NPI Other Technician · Celebration, FL
NPI 1487312161 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1487312161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 741 Front St Ste 210
Celebration, FL 34747-4992 - Phone
- (844) 244-2840
- NPI assigned
- Nov 30, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
741 Front St Ste 210
Celebration, FL 34747-4992
Mailing address
741 Front St Ste 210
Celebration, FL 34747-4992
Phone (844) 244-2840
Other providers in Celebration, FL
- Gabriela Ivania Blandon-Castillo
- Scott Thomas Bleakley
- Christine Y Blick
- Kevin M Boerner
- Jonathan David Bohner
- Natalie Jill Bowles
- Elizabeth Missey Boykin
- Amanda Bradshaw
- Deborah Lee Brady-Hull
- Breast Care Specialists, LLC
All providers in Celebration, FL · Other Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.