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Contact Information

SHAWN E BOOMSMA, DO
1800 NW 10TH AVE STE T-215
MIAMI, FL33136
 Phone: 305-585-1852
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHAWN E BOOMSMA · (Male)

NPI # 1407296486
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/05/2013
Last updated 10/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS16242
  • MA License # 273804
Hospital affiliation(s)
  • JACKSON MEMORIAL HOSPITAL - (Acute Care)
    1611 NW 12TH AVE
    MIAMI, FL 33136
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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