Tracie Boudreau

NPI 1750629994 · on the registry since 2013

Practice

Address: 450 State Road 13 Suite 109
Saint Johns, FL 32259
Phone: (904) 230-3207
Organisation at this address: Akel Management Llc
Signature Senior Care
Tnt Medical Surgical Group Inc
Myeyedr. Optometry Of Florida, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-01-23

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