Boules, Suzy T

Boules, Suzy T is an individual health care provider with primary practice located at 1701 N Mills Ave , Orlando FL 32803-1851. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Boules, Suzy T can be contacted via phone (407) 204-7000.

Contact Information

Primary practice address
1701 N Mills Ave Orlando FL 32803-1851
Phone: (407) 204-7000
Fax: (407) 204-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME 92072 Florida

Profile Details

NPI number 1609042563
LBN Legal business name Boules, Suzy T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated May 7th, 2024 - about 2 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 1609042563 NPPES
Florida Other ME92072 PROFESSIONAL LICENSE NUMBER
Florida Other 1609042563 PROFESSIONAL LICENSE NUMBER

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