DANIELLE A. BOUCHER M.D. - NPI 1508850504 - Obstetrics & Gynecology in Indialantic, FL

Q: What is Danielle Boucher's NPI number?

The NPI number for Danielle Boucher is 1508850504. It was assigned to this individual provider in the NPPES registry on September 6, 2005. The provider is also known as Danielle A. Linck M.D..

Q: What is Danielle Boucher's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Boucher was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Danielle A. Boucher M.d. NPPES

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

DANIELLE A. BOUCHER M.D. (NPI 1508850504) is an individual gynecology provider in Indialantic, Florida, licensed in Florida (ME82139) and active in the NPI registry since September 2005. She maintains a secondary practice location in Viera.

NPPES Registry Identity

NPI1508850504

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameDANIELLE A. BOUCHERCredential: M.D.

Location Address1220 N HIGHWAY A1A STE 147Indialantic, FL 32903-2858

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 242-8790 · Fax (321) 951-7408

Phone(321) 242-8790

Fax(321) 242-1541

Sole ProprietorNo

Enumeration DateSeptember 6, 2005

Last NPPES UpdateJune 21, 20182 updates tracked since enumeration

✔ NPI 1508850504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in FL · ME82139

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1220 N HIGHWAY A1A STE 147, Indialantic, FL 32903

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Other Names 1

Other Name (5)Danielle A. Linck M.d.

Secondary Practice Location 1

Location 17125 Murrell RoadViera, FL 32940-7999 · Phone (321) 242-8790 · Fax (321) 242-1541

Other Identifiers 4

Other51172FL · Florida Blue (bcbs Of Fl)

Other5481530001FL · Cigna

OtherP01164038FL · Rr Medicare

Other2599246FL · Aetna

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAY M HAGLOCH MD

Family Medicine