Boost Medical LLC

Primary specialty

Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X

Legal business name

BOOST MEDICAL LLC

Practice address

13798 NW 4TH St Ste 311
Sunrise, FL 33325-6227

Phone

(754) 778-8235

NPI assigned

Feb 16, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Rutledge

Title

Ceo

Phone

(936) 648-5161

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1750089009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13798 NW 4TH ST STE 311",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256227",
            "telephone_number": "754-778-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13798 NW 4TH ST STE 311",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256227",
            "telephone_number": "754-778-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-648-5161"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Antonette Balderama Bongalonta
• Daniela Bonilla Escamilla
• Andrea F Bonkosky, LCSW
• Alejandra Maria Bonner
• Bridjette Booker, REGISTERED NURSE
• Heather Borgese, MSW
• Kimberly Arasula Borgonia
• Born to Care Home Services LLC.
• Yanelle Bosch
• Zelie Bougenot

• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.