Bou-Gauthier, Salvador Angel

Bou-Gauthier, Salvador Angel is an individual health care provider with primary practice located at 1507 W Reynolds St Ste A , Plant City FL 33563-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bou-Gauthier, Salvador Angel can be contacted via phone (813) 719-3716.

Contact Information

Primary practice address
1507 W Reynolds St Ste A Plant City FL 33563-4702
Phone: (813) 719-3716
Fax: (813) 759-2487
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME64556 Florida

Profile Details

NPI number 1932181625
LBN Legal business name Bou-Gauthier, Salvador Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Apr 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932181625 NPPES
Florida MEDICAID 374065000
Florida Other ME64556
Florida Other 23602

Popular Providers