Paul Francis Bourque, CO
Specialist in Winter Park, FL. Individual provider (NPI-1).
NPI number1669564779
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1669564779
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul Francis Bourque
- Credential
- CO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ORT6 | FL | Yes |
Practice location
1222 Orange AveSte B
Winter Park, FL 32789-4918
Phone 407-740-7772 · Fax 407-539-1791
Mailing address
2704 Stone AveDeland, FL 32720-3803
Phone 386-738-2833
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All 61 Specialist providers in Winter Park · All 4,559 providers in Winter Park
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