Individual
DR. JACQUELINE D BOUTROUILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., P.A.
Contact information
Practice address
7880 N UNIVERSITY DR, SUITE 303, TAMARAC, FL 33321-2124
(954) 340-3000
(954) 636-8407
Mailing address
7880 N UNIVERSITY DR, SUITE 303, TAMARAC, FL 33321-2124
(954) 340-3000
(954) 636-8407
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 87029
FL
2084P0802X
Addiction Psychiatry Physician
ME 87029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268083100
—
FL
Enumeration date
06/19/2006
Last updated
01/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us