DR. Edmund C.a. Boulting, M.D.

NPI #1174658116 in Lake Mary, Florida

Provider Information

NPI Number
1174658116
Entity Type
Individual
Name
DR. Edmund C.a. Boulting, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Obstetrics & Gynecology - Gynecology
Credential
M.D.
Enumeration Date
Feb 22, 2007
Last Updated
Jun 25, 2024

Practice Location

Address
785 PRIMERA BLVD
Address 2
SUITE 1031
State
Florida
ZIP Code
32746-2124
Phone
(407) 834-8111

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - GynecologyGynecology

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