Organization
JOSEPH A BOULAY JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BOULAY M.D. (OWNER)
(727) 410-6399
Entity
Organization
Contact information
Practice address
6198 52ND ST S, ST PETERSBURG, FL 33715-2405
(727) 410-6399
Mailing address
6198 52ND ST S, ST PETERSBURG, FL 33715-2405
(727) 410-6399
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME40296
FL
Other
Enumeration date
03/01/2010
Last updated
11/30/2016
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