Individual
IRENE WILCOX BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 NW 23RD AVE, CHIEFLAND, FL 32626-1976
(352) 493-0360
(352) 493-0369
Mailing address
220 SW 25TH AVE, CHIEFLAND, FL 32626-0277
(352) 493-0360
(352) 493-0369
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
PENDING
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427284272
TRI-COUNTY ORTHOTIC PROSTHETIC INSTITUTE
FL
Enumeration date
02/20/2009
Last updated
07/21/2022
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