Provider Demographics
NPI:1528307048
Name:BOSCH, ALBERT V (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:V
Last Name:BOSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 ROYAL MARCO WAY
Mailing Address - Street 2:UNIT 923
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-7808
Mailing Address - Country:US
Mailing Address - Phone:239-642-8574
Mailing Address - Fax:
Practice Address - Street 1:4000 ROYAL MARCO WAY
Practice Address - Street 2:UNIT 923
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-7808
Practice Address - Country:US
Practice Address - Phone:239-642-8574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036046083207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine