Dr. Madona Edwar Boulos, MD
Student in an Organized Health Care Education/Training Program in Deerfield Beach, FL. Individual provider (NPI-1).
NPI number1104767201
StatusActive
Last updated in NPPESApr 2, 2026
Details
- NPI
- 1104767201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Madona Edwar Boulos
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2026
- Certification date
- Mar 24, 2026
- Last updated
- Apr 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | FL | Yes |
Practice location
201 E Sample RdDeerfield Beach, FL 33064-3502
Phone 954-941-8300
Mailing address
201 E Sample RdDeerfield Beach, FL 33064-3502
Phone 954-941-8300
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All 140 Student in an Organized Health Care Education/Training Program providers in Deerfield Beach · All 4,521 providers in Deerfield Beach
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