Individual
BRENT BOODHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 WEST 8TH ST. CLINICAL CENTER 7-088, JACKSONVILLE, FL 32209
(904) 383-1014
(904) 244-5047
Mailing address
655 WEST 8TH ST. CLINICAL CENTER 7-088, JACKSONVILLE, FL 32209
(904) 383-1014
(904) 244-5047
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
03/29/2023
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