Boag, Douglas

Boag, Douglas is an individual health care provider with primary practice located at 2200 W Eau Gallie Blvd , Melbourne FL 32935-3165. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Boag, Douglas can be contacted via phone (321) 255-1500.

Contact Information

Primary practice address
2200 W Eau Gallie Blvd Melbourne FL 32935-3165
Phone: (321) 255-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 11013299 Florida

Profile Details

NPI number 1508434838
LBN Legal business name Boag, Douglas
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2021
Last updated Jun 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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