Jacqueline Boutrouille Md Pa
LBN: Jacqueline Boutrouille Md Pa
Jacqueline Boutrouille Md Pa is an health care organization with primary practice located at 7880 N University Dr Ste 303, Tamarac FL 33321-2124. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Jacqueline Boutrouille Md Pa can be contacted via phone (954) 340-3000, or through Boutrouille, Jacqueline D via phone (954) 340-3000.
Contact Information
Primary practice address
7880 N University Dr Ste 303
Tamarac FL 33321-2124
Phone: (954) 340-3000
Fax: (954) 636-8407
Website:
Authorized official contact:
Name: Boutrouille, Jacqueline D Doctor of Medicine (MD)
Phone: (954) 340-3000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME87029 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | ME87029 | Florida |
Profile Details
| NPI number | 1720325574 |
|---|---|
| LBN Legal business name | Jacqueline Boutrouille Md Pa |
| DBA Doing business as | |
| Authorized official | Boutrouille, Jacqueline D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2013 |
| Last updated | Mar 27th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720325574 | NPPES |
| Florida | MEDICAID | 268083100 |
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