person
Dr. Suzy T Boules, MD
General Practice Physician in Orlando, Florida
NPI 1609042563

Suzy T Boules is a General Practice Physician based in Los Angeles, FL. Suzy T Boules practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Suzy T Boules is 1609042563 and holds a License No. ME 92072 (Florida).

The current practice location address for Suzy T Boules is 1701 N Mills Ave, Orlando, FL and can be reached out via phone at 407-204-7000 and via fax at 407-204-1366.

Location: 1701 N Mills Ave, Orlando, FL, 90028-7422
person
Provider Profile Details
NPI Number
1609042563
Provider Name
Suzy T Boules
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1701 N Mills Ave, Orlando, FL, 90028-7422
Phone Number
407-204-7000
Fax Number
407-204-1366
Provider Enumeration Date
05/01/2008
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME92072 01 FL PROFESSIONAL LICENSE NUMBER
1609042563 01 FL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
1701 N Mills Ave
City
State
Zip
32803-1851
Phone Number
407-204-7000
Fax Number
407-204-1366
person
Provider Business Mailing Address Details
Address
1701 N Mills Ave
City
State
Zip
32803-1851
Phone Number
407-204-7000
Fax Number
407-204-1366
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME 92072 (Florida)
Definition
Definition to come...
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