Provider Demographics
NPI:1760480214
Name:BOYE, RICHARD H (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:H
Last Name:BOYE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:303 N CLYDE MORRIS BLVD
Mailing Address - Street 2:CHEST PAIN CENTER
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2709
Mailing Address - Country:US
Mailing Address - Phone:386-425-1800
Mailing Address - Fax:386-425-1804
Practice Address - Street 1:303 N CLYDE MORRIS BLVD
Practice Address - Street 2:CHEST PAIN CENTER
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2709
Practice Address - Country:US
Practice Address - Phone:386-425-1800
Practice Address - Fax:386-425-1804
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2016-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0021229207Q00000X
FLME21229207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069254900Medicaid
64319VMedicare ID - Type Unspecified
FL069254900Medicaid
FL64319ZMedicare PIN