person
Dr. Edmund C.a. Boulting, MD
Gynecology Physician in Lake Mary, Florida
NPI 1174658116

Edmund C.a. Boulting is a Gynecology Physician based in Lake Mary, FL and is specialized in Gynecology. Edmund C.a. Boulting practices in Lake Mary, FL and has the professional credentials of MD. The NPI Number for Edmund C.a. Boulting is 1174658116 and holds a License No. ME70127 (Florida).

The current practice location address for Edmund C.a. Boulting is 785 Primera Blvd, Lake Mary, FL and can be reached out via phone at 407-834-8111 and via fax at 407-708-1958.

Location: 785 Primera Blvd, Lake Mary, FL, 32746-2124
person
Provider Profile Details
NPI Number
1174658116
Provider Name
Edmund C.a. Boulting
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
785 Primera Blvd, Lake Mary, FL, 32746-2124
Phone Number
407-834-8111
Fax Number
407-708-1958
Provider Enumeration Date
02/22/2007
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
379728700 05 FL
institution
Provider Business Practice Location Address Details
Address
785 Primera Blvd
City
State
Zip
32746-2124
Phone Number
407-834-8111
Fax Number
407-708-1958
person
Provider Business Mailing Address Details
Address
785 Primera Blvd
City
State
Zip
32746-2124
Phone Number
407-834-8111
Fax Number
407-708-1958
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
ME70127 (Florida)
Definition
Definition to come...
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