Individual
MOURIEL DEYANIRA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6280 SUNSET DR STE 501, SOUTH MIAMI, FL 33143-4870
(305) 671-3447
Mailing address
6280 SUNSET DR STE 501, SOUTH MIAMI, FL 33143-4870
(305) 671-3447
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
OS20011
FL
Other
Enumeration date
04/01/2018
Last updated
06/08/2023
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