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BRENT BOODHAI
NPI 1285232868
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since October 15, 2020
655 WEST 8TH ST. CLINICAL CENTER 7-088, JACKSONVILLE, FL 32209(904) 383-1014(904) 244-5047 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 29, 2023, Oct 15, 2020 (2 updates tracked since 2020).

About Brent Boodhai NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT BOODHAI (NPI 1285232868) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1285232868
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENT BOODHAI
Location Address655 WEST 8TH ST. CLINICAL CENTER 7-088Jacksonville, FL 32209
Mailing Address655 West 8th St. Clinical Center 7-088Jacksonville, FL 32209 · (904) 383-1014 · Fax (904) 244-5047
Phone(904) 383-1014
Fax(904) 244-5047
Sole ProprietorYes
Enumeration DateOctober 15, 2020
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 25, 2023
✔ NPI 1285232868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
655 WEST 8TH ST. CLINICAL CENTER 7-088, Jacksonville, FL 32209
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Boodhai's NPI number?

The NPI number for Brent Boodhai is 1285232868. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Brent Boodhai located?

Brent Boodhai practices at 655 West 8th St. Clinical Center 7-088, Jacksonville, FL 32209. The listed phone number is (904) 383-1014.

What is Brent Boodhai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brent Boodhai was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.