Individual
GARY-ANTHONY LAWSON- BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
451 BAYFRONT PL, #5209, NAPLES, FL 34102-6469
(239) 298-9702
(239) 331-4153
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
228322-1
NY
207L00000X
Anesthesiology Physician
Primary
ME97767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277768100
—
FL
01
—
93528
BCBS
FL
Enumeration date
12/14/2005
Last updated
07/15/2025
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