Boudreau, Michelle M.
Boudreau, Michelle M. is an individual health care provider with primary practice located at 11215 Metro Pkwy Ste 1 , Fort Myers FL 33966-1206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Boudreau, Michelle M. can be contacted via phone (239) 208-2212.Contact Information
Primary practice address
11215 Metro Pkwy Ste 1
Fort Myers FL 33966-1206
Phone: (239) 208-2212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO191076 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OD019097 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 18849 | New Hampshire |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 15039 | North Dakota |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 34.013330 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 5101023728 | Michigan |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 51008 | Connecticut |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | TM00756 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 293760 | New York |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2020005820 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS15070 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 17443 | California |
Profile Details
| NPI number | 1346534864 |
|---|---|
| LBN Legal business name | Boudreau, Michelle M. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2011 |
| Last updated | Dec 19th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346534864 | NPPES |
| New Hampshire | MEDICAID | 3116006 |
Popular Providers
-
Newman, Richard Paul
11215 Metro Pkwy Ste 1 , Fort Myers FL 33966-1206 -
Bonnette, Harris L
13782 Plantation Rd Ste 201 , Fort Myers FL 33912-4462 -
Newland, Douglas Alan
13601 Plantation Rd Ste 3 , Fort Myers FL 33912-4437 -
Dzamashvili, Konstantin
12670 Whitehall Dr , Fort Myers FL 33907-3619 -
Carracino, William J
13340 Metro Parkway Suite 400, Fort Myers FL 33966 -
Mowzoon, Nima
11215 Metro Pkwy Ste 1 , Fort Myers FL 33966-1206 -
Bond, Wendy Robinson
3033 Winkler Ave Unit 200 , Fort Myers FL 33916-9524 -
Davis, Edward Lebretta
6100 Winkler Rd Suite C, Fort Myers FL 33919-8126