Individual
JOSEPH JUNIOR BOUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 S CONGRESS AVE STE 4A, PALM SPRINGS, FL 33406-7611
(561) 965-6333
(866) 678-3710
Mailing address
2135 S CONGRESS AVE STE 4A, PALM SPRINGS, FL 33406-7611
(561) 965-6333
(866) 678-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
312-P.A.
PR
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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