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Olivia Boucher
Family Medicine Physician in Eglin Afb, Florida
NPI 1477936250

Olivia Boucher is a Family Medicine Physician based in Eglin Afb, FL. Olivia Boucher practices in Eglin Afb, FL. The NPI Number for Olivia Boucher is 1477936250 and holds a License No. 29817 (Florida).

The current practice location address for Olivia Boucher is 307 Boatner Rd Ste 114, Eglin Afb, FL and can be reached out via phone at 850-883-8600.

Location: 307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477936250
Provider Name
Olivia Boucher
Credential
Provider Entity Type
Individual
Gender
Female
Address
307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
Phone Number
850-883-8600
Fax Number
Provider Enumeration Date
06/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 Boatner Rd Ste 114
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-8600
Fax Number
person
Provider Business Mailing Address Details
Address
307 Boatner Rd Ste 114
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
29817 (Nebraska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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307 Boatner Rd,
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