MARC E BOSEM M.D (NPI# 1386790939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386790939 |
| Entity Type | Organization |
| Organization Name | MARC E BOSEM M.D |
| Other Organization Name | CORRECTVISION LASER INSTITUTE |
| Practice Address |
1 Sw 129th Ave Suite 209 Pembroke Pines FL 33027-1761 |
| Practice Telephone | 9544379300 |
| Practice Fax Number | 9544379377 |
| Mailing Telephone | 9544379300 |
| Mailing Fax Number | 9544379377 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARC E BOSEM (DIRECTOR) |
| Authorized Official Telephone | 9544379300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
ME0067977 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DR. MAX CORNDORF | 1710929039 | 01 |
| FL | DR. KHAN NPI | 1801857685 | 01 |
| Other Name | Type Code |
|---|---|
| CorrectVision Laser Institute | Doing Business As Name - Organization |
| Street Address |
1 SW 129TH AVE SUITE 209 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924709 | Edmund Alan Geller | Surgery | 1 Sw 129th Ave, Suite 200, Pembroke Pines, FL 33027-1761 | 2005-09-30 |
| 1801344692 | Kevin Verde | Physician Assistant | 1 Sw 129th Ave, Suite 201, Pembroke Pines, FL 33027-1761 | 2016-09-21 |
| 1285086009 | Russell Perry Kotch | Dentist | 1 Sw 129th Ave, Suite 302, Pembroke Pines, FL 33027-1761 | 2016-07-05 |
| 1649671744 | Cardiovascular Preventative Care, LLC | Internal Medicine | 1 Sw 129th Ave, Suite 105, Pembroke Pines, FL 33027-1761 | 2014-09-08 |
| 1588008536 | Michael F. Graham, Md LLC | Specialist | 1 Sw 129th Ave, 200, Pembroke Pines, FL 33027-1761 | 2013-04-22 |
| 1285077834 | Berkower Pain & Spine Rehabilitation, Inc | Physical Medicine & Rehabilitation | 1 Sw 129th Ave, Suite 305, Pembroke Pines, FL 33027-1761 | 2013-04-14 |
| 1639434236 | Maria R Cortti Ferrari | Internal Medicine | 1 Sw 129th Ave, Pembroke Pines, FL 33027-1761 | 2012-07-10 |
| 1083885727 | Edmund A Geller M D P A | Dermatology | 1 Sw 129th Ave, Suite 200, Pembroke Pines, FL 33027-1761 | 2008-03-21 |
| 1205014776 | Orthopaedic Associates of South Broward Pa | Podiatrist | 1 Sw 129th Ave, Suite 401, Pembroke Pines, FL 33027-1761 | 2008-02-06 |
| 1023213782 | Norman A Bloom Md Pa | Urology | 1 Sw 129th Ave, Suite 109, Pembroke Pines, FL 33027-1761 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767668 | Marlene Reda | Technician/Technologist | 3180 Sw 2nd St, Miami, FL 33135-2755 | 2019-12-16 |
| 1477055564 | Marina Nemiroff | Technician/Technologist | 2 Marguerita Dr, Stuart, FL 34996-6338 | 2018-03-05 |
| 1629440870 | Wayne Goldman | Technician/Technologist | 12960 West State Road 84, Davie, FL 33325 | 2015-10-28 |
| 1174875983 | Ndubuisi Mbano | Technician/Technologist | 3530 1st Ave N Ste 211, St Petersburg, FL 33713-8443 | 2012-10-04 |
| 1871891739 | Clayton M. Berger, M.d., P.a. | Technician/Technologist | 201 Se 14th St, Fort Lauderdale, FL 33316-1827 | 2011-03-02 |
| 1114113685 | Central Florida Eye Clinic P.a. | Technician/Technologist | 814 Griffin Rd, Lakeland, FL 33805-2440 | 2007-09-19 |
| 1386843795 | Sual Optical Corporation | Technician/Technologist | 10720 W Flagler St, Suite 6, Miami, FL 33174-4406 | 2007-07-16 |
| 1295856516 | University Opticians, Inc. | Technician/Technologist | 300 Sw 4th Ave, Gainesville, FL 32601-6550 | 2007-04-03 |
| 1174640957 | Jhf, Inc. | Technician/Technologist | 1850 S Ocean Blvd, Suite 211, Pompano Beach, FL 33062-7921 | 2007-03-25 |
| 1093715302 | Lauren Richard Rosecan | Technician/Technologist | 901 N Flagler Dr # 4, West Palm Beach, FL 33401-3713 | 2005-07-28 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
Please comment or provide details below to improve the information on MARC E BOSEM M.D.
| 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.