Organization
EDMUND BOULTING M.D. PA
Active
Other names
LAKE MARY OBSTETRICS AND GYNECOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI K SELL (OWNER)
(407) 323-2727
Entity
Organization
Contact information
Practice address
2500 W LAKE MARY BLVD, SUITE 206, LAKE MARY, FL 32746-3501
(407) 323-2727
(407) 323-2771
Mailing address
2500 W LAKE MARY BLVD, SUITE 206, LAKE MARY, FL 32746-3501
(407) 323-2727
(407) 323-2771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME70127
FL
Other
Enumeration date
02/22/2007
Last updated
02/07/2008
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