Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME0072876 | FL |
N | 208600000X | Surgeon | ME0072876 | FL |
N | 2086X0206X | Surgical Oncologist | 023027 | LA |
Y | 2086X0206X | Surgical Oncologist | ME0072876 | FL |
NPI | 1245294552 |
---|---|
Provider Name | Dr. Michael John Boyle |
First Address | Delray Beach, FL 33482-8005 |
Second Address | Margate, FL 33063-1531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 27/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001122900 | (05) | FL |