Boulevard Medical Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOULEVARD MEDICAL CENTER INC.

Doing business as

Boulevard Medical Center Inc.

Practice address

1020 Independence Blvd
Suite 101
Virginia Beach, VA 23455

Phone

(757) 460-3330

Fax

(757) 460-3781

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Joan I Flor, BS MPA

Title

Business Manager Vice President

Phone

(757) 460-3330

Specialties & licenses 1

Addresses

Other names 1

• Boulevard Medical Center Inc. Doing business as

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1659585354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-460-3330",
            "fax_number": "757-460-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-460-3330",
            "fax_number": "757-460-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "FLOR",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "BUSINESS MANAGER VICE PRESIDENT",
        "authorized_official_telephone_number": "757-460-3330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS MPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Medical Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Boszczuk, MS, CF-SLP
• John Karl Botin
• Sanae Bouallali, D.D.S.
• Mariam Sophia Bouanane-Smith, PMHNP-BC
• Danielle Bouldin, PHARMD
• Jennifer Boulware, SLPA
• Boundless Inc (Stillpoint Acupuncture & Wellness Center)
• Kevin B Bounds, M.D.
• Thomas Michael Bousman, PA
• Jessica Misty Bowab, COTA, CHW, DOULA

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.