BOUTIQ MEDICAL CLINIC LLC is a family nurse practitioner in Orlando, FL. BOUTIQ MEDICAL CLINIC LLC NPI is 1558947499. The provider is registered as an organization entity type.
The provider's business location address is:
1430 N MILLS AVE STE 120
ORLANDO, FL
ZIP 32803-877
Phone: (407) 777-2449
The provider's authorized official is Karen L Buckalew .
The authorized official title is President/owner and has the following contact phone number (407) 777-2449.
The CLIA number assigned to this NPI record is 10D2180733 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/22/2021 and was last updated on 4/7/2021.