Individual
SALVADOR ANGEL BOU-GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME64556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23602
BCBS
—
05
—
374065000
—
FL
01
—
ME64556
ME
—
Enumeration date
11/17/2005
Last updated
04/09/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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