Individual
AMADA S BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
916 HWY 542, DUNDEE, FL 33838-4198
(863) 419-3330
(863) 419-3258
Mailing address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(863) 452-3000
(863) 452-3069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME23856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055818400
—
FL
01
—
71379
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/29/2005
Last updated
05/22/2008
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