DR. LON A BOUTIETTE, MD
Osteopathic Medicine at Mar Walt Dr, Fort Walton Beach, FL

License number
Florida ME51154
Category
Osteopathic Medicine
Type
Emergency Medicine
Address
Address 2
1000 Mar Walt Dr, Fort Walton Beach, FL 32547
PO Box 88452, Chicago, IL 60680
Phone
(850) 863-7607
(205) 437-5998 (Fax)
(205) 437-6098
National Provider ID: 1174574479
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about LON A BOUTIETTE at radaris.com
Name
Address
Phone
Lon Boutiette, age 69
249 Beachview Dr NE, Fort Walton Beach, FL 32547
(850) 865-7235
Lon A Boutiette
1001 Mar Walt Dr, Fort Walton Beach, FL 32547
(850) 862-8959
Lon A Boutiette, age 69
302 Olde Post Rd, Niceville, FL 32578
Lon A Boutiette
304 Olde Post Rd, Niceville, FL 32578
Lon A Boutiette, age 69
4509 Bristol Ct, Niceville, FL 32578

Organization information

See more information about LON A BOUTIETTE at bizstanding.com

Lon Boutiette MD

1000 Mar Walt Dr, Fort Walton Beach, FL 32547

Industry:
Emergency Medicine
Phone:
(850) 863-7607 (Phone)
Lon Antoni Boutiette

LON A. BOUTIETTE M.D., PA

Fort Walton Beach, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
Sep 15, 1997
Inactive since:
Mar 21, 2000
Addresses:
249 Beachview Dr NE, Fort Walton Beach, FL 32547 (Physical)
775 Barley Prt Ln, Fort Walton Beach, FL 32547
State ID:
P97000080616
Business type:
Florida Profit Corporation
President, Directors:
Boutiette, Lon, Dr, 249 Beachview Dr NE, Fort Walton Beach, FL 32547 (Physical),Lon A. Boutiette (President, Director)
EIN:
59-3467491

Professional information

Lon Antoni Boutiette Photo 1

Lon Antoni Boutiette, Fort Walton Beach FL
Specialties:
Emergency Medicine Physician
Address:
1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Board certifications:
American Board of Emergency Medicine Certification in Emergency Medicine

Lon Antoni Boutiette Photo 2

Lon Antoni Boutiette, Fort Walton Beach FL
Specialties:
Emergency Medicine, Internal Medicine
Work:
Fort Walton Beach Medical Center
 1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Education:
University of Massachusetts (1982) Emergency Medicine

Lon A Boutiette Photo 3

Dr. Lon A Boutiette, Fort Walton Beach FL - MD (Doctor of Medicine)
Specialties:
Emergency Medicine
Address:
1000 Mar Walt Dr, Fort Walton Beach 32547
(850) 863-7607 (Phone), (205) 437-5998 (Fax)
Certifications:
Emergency Medicine, 1988
Awards:
Healthgrades Honor Roll
Languages:
English
Education:
Medical School
University Of Massachusetts Medical School
Graduated: 1982
Emory University School Of Med
Kttc Med Center Keesler

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