Luis L Boulart, | |
9725 Nw 117th Ave Ste 200, Medley, FL 33178-1260 | |
(954) 514-9360 | |
Not Available |
Full Name | Luis L Boulart |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 9725 Nw 117th Ave Ste 200, Medley, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225639180 | NPI | - | NPPES |
APRN11008799 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11008799 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cano Health, Llc | 1759565047 | 247 |
Entity Name | Cano Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829 |
Mailing Address | Practice Location Address |
---|---|
Luis L Boulart, 9725 Nw 117th Ave Ste 200, Medley, FL 33178-1260 Ph: (954) 514-9360 | Luis L Boulart, 9725 Nw 117th Ave Ste 200, Medley, FL 33178-1260 Ph: (954) 514-9360 |
Ingrid Tatiana Duran, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10420 Nw 74th St Unit 307, Medley, FL 33178 Phone: 786-523-6721 | |
Mr. Leroy Anselm Marklund, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7797 Nw 114th Path, Medley, FL 33178 Phone: 305-807-0045 | |
Mrs. Shirley Stephanie Siguenas, DNP,FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9725 Nw 117th Ave Ste 200, Medley, FL 33178 Phone: 855-226-6633 | |
Chavely De La Rosa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7911 Nw 72nd Ave, Medley, FL 33166 Phone: 484-619-8220 | |
Dania Carmona Gonzalez, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8650 Nw 97th Ave Apt 102, Medley, FL 33178 Phone: 786-301-8948 | |
Damaris Valdes, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8181 Nw S River Dr, D 410, Medley, FL 33166 Phone: 305-825-6101 |