Individual
ALEXIS JOAN BOUTCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-5111
Mailing address
301 SW 78TH AVE, NORTH LAUDERDALE, FL 33068-1232
(954) 608-9275
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
853
FL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
07/18/2023
Last updated
12/17/2023
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