Individual
DR. ROBERT GERALD BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4780 S LAKE DR, BOYNTON BEACH, FL 33436-5914
(561) 731-4311
Mailing address
4780 S LAKE DR, BOYNTON BEACH, FL 33436-5914
(561) 731-4311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17602
FL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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