SearchFlorida251E00000X

Ishmael Bougouneau

NPI 1467998930 · on the registry since 2017 · sole proprietor

Practice

Address
2059 Veranda Cir Bldg J
Orlando, FL 32808
Phone
(321) 914-7628

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
251C00000X
253Z00000X
320900000X
385HR2060X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida