Provider Demographics
NPI:1649300989
Name:BOSCOVE, JOY ANN (CNM)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:ANN
Last Name:BOSCOVE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6853 SW 18TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7060
Mailing Address - Country:US
Mailing Address - Phone:561-368-3775
Mailing Address - Fax:561-368-1143
Practice Address - Street 1:6853 SW 18TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7060
Practice Address - Country:US
Practice Address - Phone:561-368-3775
Practice Address - Fax:561-368-1143
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1981202367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife