Boudreaux, Megan
Boudreaux, Megan is an individual health care provider with primary practice located at 4016 Chase Ave , Miami Beach FL 33140-3421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Boudreaux, Megan can be contacted via phone (305) 538-6500.Contact Information
Primary practice address
4016 Chase Ave
Miami Beach FL 33140-3421
Phone: (305) 538-6500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
NPI number | 1902097835 |
---|---|
LBN Legal business name | Boudreaux, Megan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 6th, 2007 |
Last updated | Aug 6th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902097835 | NPPES |
Florida | Other | 22843 | LICENSE# |
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