Active NPI
Premier Rheumatology, PLLC
- Rheumatology Physician
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- PREMIER RHEUMATOLOGY, PLLC
- Practice address
- 4400 W Sample Rd Ste 236
Coconut Creek, FL 33073-3473 - Phone
- (954) 507-6634
- NPI assigned
- Nov 12, 2025
- Last updated
- Feb 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mouriel Deyanira Boucher, DO
- Title
- Rheumatologist
- Phone
- (561) 421-4500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
4400 W Sample Rd Ste 236
Coconut Creek, FL 33073-3473
Mailing address
4400 W Sample Rd Ste 236
Coconut Creek, FL 33073-3473
Phone (954) 507-6634
Other practice location 1
2900 N Military Trl Ste 230
Boca Raton, FL 33431-6347
Phone (561) 421-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4400 W Sample Rd
Ste 236
Coconut Creek, FL 33073
Phone (561) 421-4500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- Coconut Creek, FL
- NPI 1972009868
-
- Nurse Practitioner
- Boca Raton, FL
- NPI 1366723140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771718400000",
"number": "1770443871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 W SAMPLE RD STE 236",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733473",
"telephone_number": "954-507-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W SAMPLE RD STE 236",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733473",
"telephone_number": "954-507-6634"
}
],
"practiceLocations": [
{
"address_1": "2900 N Military Trl Ste 230",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316347",
"country_code": "US",
"telephone_number": "561-421-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER RHEUMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-12",
"last_updated": "2026-02-22",
"certification_date": "2026-02-22",
"status": "A",
"authorized_official_last_name": "BOUCHER",
"authorized_official_first_name": "MOURIEL",
"authorized_official_middle_name": "DEYANIRA",
"authorized_official_title_or_position": "RHEUMATOLOGIST",
"authorized_official_telephone_number": "561-421-4500",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
- Emma-Florence Poirier
- Beth Polsky, LMHC
- Trudy-Ann Elizabeth Powell, MSW, LCSW
- Precision Health by Science
- Premier Care Nurses of America Inc (Premier Care Nurses of America)
- Prime Dentistry, PLLC
- Principles Recovery Center LLC
- Promenade Eye Care, LLC (Promenade Eye Care)
- Prosperous Behavioral Health, LLC
- Publix Super Markets Inc (Publix Pharmacy #0637)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.