Edmund Boulting M.d. PA

NPI #1821123654 in Lake Mary, Florida

Provider Information

NPI Number
1821123654
Entity Type
Organization
Organization Name
Edmund Boulting M.d. PA
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Feb 22, 2007
Last Updated
Feb 7, 2008

Practice Location

Address
2500 W LAKE MARY BLVD
Address 2
SUITE 206
State
Florida
ZIP Code
32746-3501
Phone
(407) 323-2727

Authorized Official

Name
MS. TONI K SELL
Title
OWNER
Phone
(407) 323-2727

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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