Mr. Thomas R Boulter
Neurosurgeon
311 N Clyde Morris Blvd Suite 580
Daytona Beach
, Florida 32114-2781
Mr. Thomas R Boulter
Neurosurgeon
311 N Clyde Morris Blvd Suite 580
Daytona Beach
, Florida 32114-2781
(386) 257-5058
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Mr. Thomas R Boulter
- 311 N Clyde Morris Blvd Suite 580
- Daytona Beach, FL
- Zip : 32114-2781
- Fax : (386) 257-5058
- Phone : (386) 257-5055
Second Address
- Mr. Thomas R Boulter
- 311 N Clyde Morris Blvd Suite 580
- Daytona Beach, FL
- Zip : 32114-2781
- Fax : (386) 257-5058
- Phone : (386) 257-5055
Reviews
FAQs
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Is Mr. Thomas R Boulter a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | ME0013915 | FL |
National Provider Identifier
| NPI | 1124027461 |
|---|---|
| Provider Name | Mr. Thomas R Boulter |
| First Address | Daytona Beach, FL 32114-2781 |
| Second Address | Daytona Beach, FL 32114-2781 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D57727 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.