Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME87690 | FL |
NPI | 1003876335 |
---|---|
Provider Name | France Bourget |
First Address | Fort Lauderdale, FL 33308-4229 |
Second Address | Fort Lauderdale, FL 33308-4229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 25/10/2021 |