Individual
CAROLINE COLLINS BOUDRIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11380 SW VILLAGE PKWY, PORT ST LUCIE, FL 34987-2388
(772) 286-9400
Mailing address
11380 SW VILLAGE PKWY, PORT ST LUCIE, FL 34987-2388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11027587
FL
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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