IAN BOYKIN MD PA
Osteopathic Medicine at Nebraska Ave, Fort Pierce, FL

License number
Florida ME80735
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. IAN COREY BOYKIN MD
Title: PRESIDENT
Phone: (772) 465-4444
Address
Address
2000 Nebraska Ave, Fort Pierce, FL 34950
National Provider ID: 1174711162
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IAN BOYKIN, M.D., PA

Fort Pierce, FL

Industry:
Medical Doctor's Office
Doing business as:
Ian Boykin MD
Registration:
Feb 12, 2002
Phone:
(772) 465-4444 (Phone)
Addresses:
2000 Nebraska Ave, Fort Pierce, FL 34950 (Physical)
2100 Nebraska Ave, Fort Pierce, FL 34950
State ID:
P02000016417
Business type:
Florida Profit Corporation
Director:
Ian Boykin (Director), 2000 Nebraska Ave, Fort Pierce, FL 34950 (Physical)
Agent:
Boykin, Ian,2000 Nebraska Ave, Fort Pierce, FL 34950 (Physical)
EIN:
010598341

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