NPI 1407296486 · live from the CMS NPI Registry
Shawn Eugene Boomsma, D.O.
Orthopaedic Surgery, Orthopaedic Trauma in Miami, FL. National Provider Identifier 1407296486, active.
NPI record
| NPI | 1407296486 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Trauma 207XX0801X |
| Practice location | 1800 Nw 10th Ave Ste T-215, Miami, FL 33136 |
| Practice phone | 305-585-1852 |
| Enumerated | July 5, 2013 |
| Last updated | October 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 273804 (MA) |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 273804 (MA) |
| Orthopaedic Surgery, Orthopaedic Trauma primary | 207XX0801X | OS16242 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.