Derek J Boutin

NPI 1144542192 - Social Worker - 104100000X

NPI Details
NPI 1144542192
Gender Male
Enumeration Date 02/18/2010
Last Updated 02/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5707 N 22ND ST
TAMPA FL, 33610-4350, US
Phone (813) 272-2878
Fax (813) 272-3766
Business Location
5707 N 22ND ST
TAMPA FL, 33610-4350, US
Phone (813) 272-2878
Fax (813) 272-3766
Toxanomy
Taxonomy Code 104100000X
License State
License Number
Remove 1144542192 NPI Number
 

According to our database, Derek J Boutin NPI is 1144542192, taxonomy code is 104100000X Derek J Boutin physically located at 5707 N 22nd St, Tampa FL, 33610-4350. NPI Number Derek J Boutin has the Individual type.

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1144542192 NPI number is provided on an as is basis without warranty of any kind. 1144542192 is maintained by the National Plan & Provider Enumeration System. The contents of Derek J Boutin are for informational purposes only.