Boudreaux, Ann

Boudreaux, Ann is an individual health care provider with primary practice located at 4771 S Cleveland Ave , Ft Myers FL 33907-1317. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Boudreaux, Ann can be contacted via phone (239) 343-9800.

Contact Information

Primary practice address
4771 S Cleveland Ave Ft Myers FL 33907-1317
Phone: (239) 343-9800
Fax: (239) 343-9848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME063794 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME0063794 Florida

Profile Details

NPI number 1487655569
LBN Legal business name Boudreaux, Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 11th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487655569 NPPES
Florida MEDICAID 259188000

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