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Kyle Boltson
Family Medicine Physician in Port St Lucie, Florida
NPI 1790363158

Kyle Boltson is a Family Medicine Physician based in Port St Lucie, FL. Kyle Boltson practices in Port St Lucie, FL. The NPI Number for Kyle Boltson is 1790363158 and holds a License No. (Florida).

The current practice location address for Kyle Boltson is 2190 Se Sunflower St, Port St Lucie, FL and can be reached out via phone at 561-703-7035.

Location: 2190 Se Sunflower St, Port St Lucie, FL, 34952-4878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790363158
Provider Name
Kyle Boltson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2190 Se Sunflower St, Port St Lucie, FL, 34952-4878
Phone Number
561-703-7035
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2190 Se Sunflower St
City
Port St Lucie
State
Florida
Zip
34952-4878
Phone Number
561-703-7035
Fax Number
person
Provider Business Mailing Address Details
Address
2190 Se Sunflower St
City
Port St Lucie
State
Florida
Zip
34952-4878
Phone Number
561-703-7035
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OS20226 (Florida)
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.
()
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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