EDMUND BOULTING M.D. PA

LAKE MARY, FL
NPI1821123654
Doing Business AsLAKE MARY OBSTETRICS AND GYNECOLOGY
Entity TypeOrganization
Authorized ContactTONI K SELL
Owner
407-323-2727
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: FL  ME70127)
Enumeration Date2007-02-22
Last Update Date2008-02-07
Business Address
EDMUND BOULTING M.D. PA
2500 W LAKE MARY BLVD SUITE 206
LAKE MARY, FL 32746-3501
Phone number: 407-323-2727
Mailing Address
EDMUND BOULTING M.D. PA
2500 W LAKE MARY BLVD SUITE 206
LAKE MARY, FL 32746-3501
Phone number: 407-323-2727