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Dr. Lon A Boutiette, MD
Emergency Medicine Physician in Fort Walton Beach, Florida
NPI 1174574479

Lon A Boutiette is a Emergency Medicine Physician based in Chicago, FL. Lon A Boutiette practices in Fort Walton Beach, FL and has the professional credentials of MD. The NPI Number for Lon A Boutiette is 1174574479 and holds a License No. ME51154 (Florida).

The current practice location address for Lon A Boutiette is 1000 Mar Walt Dr, Fort Walton Beach, FL and can be reached out via phone at 850-863-7607 and via fax at 205-437-5998.

Location: 1000 Mar Walt Dr, Fort Walton Beach, FL, 60680-1452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174574479
Provider Name
Lon A Boutiette
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Mar Walt Dr, Fort Walton Beach, FL, 60680-1452
Phone Number
850-863-7607
Fax Number
205-437-5998
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
063236800 05 FL
059184932 01 AL BCBS PROVIDER NUMBER
04698 01 FL BCBS PROVIDER NUMBER
059184934 01 AL BCBS PROVIDER NUMBER
059184933 01 AL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1000 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6708
Phone Number
850-863-7607
Fax Number
205-437-5998
person
Provider Business Mailing Address Details
Address
1000 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6708
Phone Number
850-863-7607
Fax Number
205-437-5998
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
ME51154 (Florida)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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