Provider Demographics
NPI:1508587163
Name:BOYER, JULIEN JEAN MARIE
Entity Type:Individual
Prefix:
First Name:JULIEN
Middle Name:JEAN MARIE
Last Name:BOYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21731 KING JOHN ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-7928
Mailing Address - Country:US
Mailing Address - Phone:321-280-0738
Mailing Address - Fax:
Practice Address - Street 1:21731 KING JOHN ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-7928
Practice Address - Country:US
Practice Address - Phone:321-280-0738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty