Individual provider · Type 1 NPI

Paul Francis Bourque, CO

Specialist · Winter Park, FL

NPI number 1669564779 Active

Practice location

1222 Orange Ave, Ste B
Winter Park, FL 32789-4918

Call (407) 740-7772 Map

Fax (407) 539-1791

Mailing address

2704 Stone Ave
Deland, FL 32720-3803

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XORT6 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669564779

Paul Francis Bourque, CO's National Provider Identifier is 1669564779, issued on Sep 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Winter Park, FL. The record was last updated on Jul 8, 2007.