Boulter, Thomas R

Boulter, Thomas R is an sole proprietor health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 580, Daytona Beach FL 32114-2781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Boulter, Thomas R can be contacted via phone (386) 257-5055.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 580 Daytona Beach FL 32114-2781
Phone: (386) 257-5055
Fax: (386) 257-5058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME0013915 Florida

Profile Details

NPI number 1124027461
LBN Legal business name Boulter, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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