NPI 1174658116

Edmund C.A. Boulting, MD

Practitioner Gynecology Physician Lake Mary, FL

Practice location

Address: 785 Primera Blvd Suite 1031, Lake Mary, FL 32746-2124
Phone: (407) 834-8111
Fax: (407) 708-1958

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence ME70127 (FL)

Other Obstetrics & Gynecology providers in Florida →

Registry record

NPI: 1174658116
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2007
Record last updated: 25 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.