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Individual

DR. ALEXANDRE REGINALD BOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3440 HOLLYWOOD BLVD STE 140, HOLLYWOOD, FL 33021-6900
(954) 276-9276
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 275-5501

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A194916
CA
207X00000X
Orthopaedic Surgery Physician
MD19055
RI

Other

Enumeration date
06/05/2018
Last updated
09/18/2025
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