Provider Demographics
NPI:1679345573
Name:BOZA, SOLANGE (FNP)
Entity Type:Individual
Prefix:
First Name:SOLANGE
Middle Name:
Last Name:BOZA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20984 SW 92ND PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2439
Mailing Address - Country:US
Mailing Address - Phone:305-783-8923
Mailing Address - Fax:
Practice Address - Street 1:20984 SW 92ND PL
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2439
Practice Address - Country:US
Practice Address - Phone:305-783-8923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF06232128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily