NPI 1356082168

Christopher Lee Boudreau

Practitioner Physical Medicine & Rehabilitation Physician Riverview, FL

Practice location

Address: 13011 Summerfield Square Dr, Riverview, FL 33578-7402
Phone: (220) 981-3374
Mailing address: 7002 Valrie Ln, Riverview, FL 33569-4661

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 38351 (FL)

Other Physical Medicine & Rehabilitation providers in Florida →

Registry record

NPI: 1356082168
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

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.