RONALD GLEN BOULWARE

BAYFRONT HMA CONVENIENT CARE LLC

Dr RONALD GLEN BOULWARE is a male medical professional, specializing in Family Medicine. He graduated in 1998 from University Of Texas Medical School At San Antonio.

Contact

BAYFRONT HMA CONVENIENT CARE LLC

3251 66TH N ST
SAINT PETERSBURG
FL
337101510

Tel: 7273443627

RONALD GLEN BOULWARE Information

Npi 1033189469
Pac Id 6800068016
Professional Enrollment Id I20111012000702
Last Name BOULWARE
First Name RONALD
Middle Name GLEN
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1998
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BAYFRONT HMA CONVENIENT CARE LLC
Group Practice Pac Id 1456597244
Number Of Group Practice Members 15
Line 1 Street Address 3251 66TH N ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT PETERSBURG
State FL
Zip Code 337101510
Phone Number 7273443627
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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