JACQUELINE BOUTROUILLE MD PA
Psychiatric at University Dr, Fort Lauderdale, FL

License number
Florida ME87029
Category
Psychiatric
Type
Psychiatry
License number
Florida ME87029
Category
Psychiatric
Type
Addiction Psychiatry
Owner
Name: JACQUELINE D BOUTROUILLE MD
Title: OWNER
Phone: (954) 340-3000
Address
Address
7880 N University Dr STE 303, Fort Lauderdale, FL 33321
National Provider ID: 1720325574
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jacqueline Boutrouille

7880 N University Dr, Fort Lauderdale, FL 33321

Status:
Inactive
Industry:
Nonclassifiable Establishments, Medical Doctor's Office
Doing business as:
Jacqueline Bouttrouille MD<br>Jacqueline Boutrouille, M.D., PA
Registration:
Sep 24, 2012
State ID:
P12000080640
Business type:
Domestic for Profit Corporation
Medical Doctor, Psychiatry, President:
Jacqueline D. Boutrouille (Medical Doctor, Psychiatry, President)
Agent:
Jacqueline Boutrouille

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