Individual
ADINA SARA BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
21808 STATE ROAD 54, LUTZ, FL 33549-6923
(813) 922-8621
Mailing address
21808 STATE ROAD 54, LUTZ, FL 33549-6923
(813) 922-8621
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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