Brandy J. Boutin

Pediatrics Physician · Gulf Breeze, FL

Individual Active NPI

NPI number 1255548129

Practice location

204 Center St
Gulf Breeze, FL 32561-4392
Phone
(850) 932-5348
Fax
(850) 932-7740

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NPI record

NPI
1255548129
Entity type
Individual (Type 1)
Enumeration date
May 17, 2007
Last updated
December 16, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME98071 FL

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone
(850) 932-5348
Fax
(850) 932-7740

About Brandy Boutin

Brandy J. Boutin is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 204 Center St, Gulf Breeze, FL 32561-4392. The NPI number 1255548129 was assigned on May 17, 2007 and the record was last updated on December 16, 2016.

Brandy Boutin lists a license in the registry: #ME98071 (FL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandy J. Boutin?

The NPI number is 1255548129.

What is the phone number of Brandy Boutin?

The phone number listed for the practice location is (850) 932-5348.

Where is Brandy Boutin located?

204 Center St, Gulf Breeze, FL 32561-4392.

What is the taxonomy code for Brandy Boutin?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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