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Mr. Douglas Boag

Nurse Practitioner - Critical Care Medicine

2200 W Eau Gallie Blvd
Melbourne , Florida 32935-3165

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Mr. Douglas Boag

Nurse Practitioner - Critical Care Medicine

2200 W Eau Gallie Blvd
Melbourne , Florida 32935-3165

(321) 255-1500

Write a Review Save Call

Mr. Douglas Boag

Nurse Practitioner - Critical Care Medicine

2200 W Eau Gallie Blvd
Melbourne , Florida 32935-3165

(321) 255-1500 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Critical Care Medicine

Languages spoken

  • English

Location

2200 W Eau Gallie Blvd Melbourne , Florida 32935-3165

First Address

  • Mr. Douglas Boag
  • 2200 W Eau Gallie Blvd
  • Melbourne, FL
  • Zip : 32935-3165
  • Phone : (321) 255-1500

Second Address

  • Mr. Douglas Boag
  • 2200 W Eau Gallie Blvd
  • Melbourne, FL
  • Zip : 32935-3165
  • Phone : (321) 255-1500

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FAQs


Where did Mr. Douglas Boag attend graduate school?

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Where did Mr. Douglas Boag do his residency?

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Where did Mr. Douglas Boag do his fellowship?

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Is Mr. Douglas Boag board certified?

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What type of doctor is Mr. Douglas Boag

Nurse Practitioner - Critical Care Medicine

In what state does Mr. Douglas Boag practice in?

Florida

Where is Mr. Douglas Boag ’s practice located?

2200 W Eau Gallie Blvd , Melbourne, Florida, 32935-3165

What is Mr. Douglas Boag ’s gender?

Male

Is Mr. Douglas Boag a sole practitioner?

No

Is Mr. Douglas Boag accepting new patients?

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What languages does Mr. Douglas Boag speak?

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Does Mr. Douglas Boag accept insurance?

Yes, Mr. Douglas Boag accepts insurance

Does Mr. Douglas Boag offers telemedicine?

Mr. Douglas Boag has not indicated if he offers telemedicine

What is Mr. Douglas Boag ’s professional license number?

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What is Mr. Douglas Boag ’s NPI number?

1508434838

Does Mr. Douglas Boag have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LC0200X Nurse Practitioner - Critical Care Medicine 11013299 FL

National Provider Identifier

NPI 1508434838
Provider Name Mr. Douglas Boag
First Address Melbourne, FL 32935-3165
Second Address Melbourne, FL 32935-3165
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/06/2021
Last Update Date 14/06/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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