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Luis L Boulart
Family Nurse Practitioner in Medley, Florida
NPI 1225639180

Luis L Boulart is a Family Nurse Practitioner based in Medley, FL and is specialized in Family. Luis L Boulart practices in Medley, FL. The NPI Number for Luis L Boulart is 1225639180 and holds a License No. APRN11008799 (Florida).

The current practice location address for Luis L Boulart is 9725 Nw 117Th Ave Ste 200, Medley, FL and can be reached out via phone at 954-514-9360.

Location: 9725 Nw 117Th Ave Ste 200, Medley, FL, 33178-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225639180
Provider Name
Luis L Boulart
Credential
Provider Entity Type
Individual
Gender
Male
Address
9725 Nw 117Th Ave Ste 200, Medley, FL, 33178-1260
Phone Number
954-514-9360
Fax Number
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN11008799 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
9725 Nw 117Th Ave Ste 200
City
Medley
State
Florida
Zip
33178-1260
Phone Number
954-514-9360
Fax Number
person
Provider Business Mailing Address Details
Address
9725 Nw 117Th Ave Ste 200
City
Medley
State
Florida
Zip
33178-1260
Phone Number
954-514-9360
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11008799 (Florida)
Definition
Definition to come...
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