Individual provider · Type 1 NPI

Edmund C.a. Boulting, MD

Gynecology Physician · Lake Mary, FL

NPI number 1174658116 Active

About NPI 1174658116

Edmund C.a. Boulting, MD's National Provider Identifier is 1174658116, issued on Feb 22, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Lake Mary, FL. The record was last updated on Jun 25, 2024.