Individual provider · Type 1 NPI

Luis L. Boulart

Family Nurse Practitioner · Miami, FL

NPI number 1225639180 Active

Practice location

8260 W Flagler St Ste 2I
Miami, FL 33144-2069

Mailing address

9725 NW 117th Ave Ste 200
Medley, FL 33178-1260

Other practice locations

  • 9725 NW 117th Ave Ste 200, Medley, FL 33178-1260 · (954) 514-9360

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11008799 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1225639180

Luis L. Boulart's National Provider Identifier is 1225639180, issued on Nov 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami, FL. The record was last updated on Dec 27, 2024.