XLB Physical Medicine, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

XLB PHYSICAL MEDICINE, LLC

Practice address

4760 Woolbright Rd Ste 103
Village of Golf, FL 33436-6620

Phone

(561) 323-3201

Fax

(561) 431-0828

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Andrew Bosier, DC

Title

Owner

Phone

(561) 323-3201

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1548043995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 WOOLBRIGHT RD STE 103",
            "city": "VILLAGE OF GOLF",
            "state": "FL",
            "postal_code": "334366620",
            "telephone_number": "561-323-3201",
            "fax_number": "561-431-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 WOOLBRIGHT RD STE 103",
            "city": "VILLAGE OF GOLF",
            "state": "FL",
            "postal_code": "334366620",
            "telephone_number": "561-323-3201",
            "fax_number": "561-431-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XLB PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "BOSIER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-323-3201",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Medical Direction
• Andrew David Ladner, MD
• On-Site Wound Consultants P.a

• Family Nurse Practitioner in Village of Golf, FL
• Providers in Village of Golf, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.