Search › Florida › 164W00000X
Idris Bozeman
NPI 1275478273 · on the registry since 2026
Practice
- Address
- 3330 Nw 63rd St
Fort Lauderdale, FL 33309 - Phone
- (954) 825-8295
- Organisation at this address
- Kingdom Culture Ministries Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida