Individual
DR. ZACHARY BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 603-6534
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME130006
FL
Other
Enumeration date
03/26/2015
Last updated
07/30/2022
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