Marijane Q. Boyd, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME73574 Issued in FL

Practice address

1375 Roberts Dr Ste 206
Jacksonville Beach, FL 32250-3209

Phone

(904) 247-1456

Fax

(904) 247-2281

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marijane Q. Montgomery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1487615530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 ROBERTS DR STE 206",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503209",
            "telephone_number": "904-247-1456",
            "fax_number": "904-247-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MARIJANE",
        "middle_name": "Q.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME73574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255087300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIJANE",
            "last_name": "MONTGOMERY",
            "middle_name": "Q.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Margaret Bohsali, ARNP
• John G. Bordelon, MD
• Brian Joseph Borden, P.T.
• Rosemary Maxwell Bossow, RD, LDN
• Kristen Bourque
• Julie Breedlove
• Lisa Kay Breedlove, FNP-APRN-BC
• India Briggs
• Jamie Bright
• Aimee Alicia Briglio, M.A. CCC-SLP

• Gynecology Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.