MR. JOHN BLUE BOSWELL


Address: 4700 Millenia Blvd, Ste 175, Orlando, FL 32839-6013
Phone: 4074760222

MR. JOHN BLUE BOSWELL (NPI# 1265758411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265758411
Entity Type Individual
Full Name MR. JOHN BLUE BOSWELL
Credential LMHC
Practice Address 4700 Millenia Blvd
Ste 175
Orlando
FL 32839-6013
Practice Telephone 4074760222
Practice Fax Number 4078049769
Mailing Telephone 4074760222
Mailing Fax Number 4078049769
Enumeration Date 2010-04-13
Last Update Date 2011-11-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH10170 FL Behavioral Health & Social Service Providers

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Office Location

Street Address 4700 MILLENIA BLVD
STE 175
City ORLANDO
State FL
Zip Code 32839-6013

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32839

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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