Individual provider · Type 1 NPI

Spencer Blake Bouton, PA-C

Physician Assistant · Sarasota, FL

NPI number 1699240465 Active

Practice location

1540 S Tamiami Trl Ste 303
Sarasota, FL 34239-2921

Fax (941) 917-8793

Mailing address

PO Box 863407
Orlando, FL 32886-3407

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9111708 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699240465

Spencer Blake Bouton, PA-C's National Provider Identifier is 1699240465, issued on Oct 9, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sarasota, FL. The record was last updated on Mar 4, 2019.