Dr JACQUELINE D BOUTROUILLE MD is a female medical professional, specializing in Psychiatry. She graduated in 1979.
REFRESH CANOPY COVE, INC
7880 N UNIVERSITY DR
303 COMPREHENSIVE MEDPSYCH SYSTEMS
TAMARAC
FL
333212124
Tel: 9543403000
| Npi | 1447295886 |
| Pac Id | 2466479910 |
| Professional Enrollment Id | I20051025000241 |
| Last Name | BOUTROUILLE |
| First Name | JACQUELINE |
| Middle Name | D |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1979 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialty 1 | ADDICTION MEDICINE |
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| All Secondary Specialties | ADDICTION MEDICINE |
| Organization Legal Name | REFRESH CANOPY COVE, INC |
| Group Practice Pac Id | 3779822119 |
| Number Of Group Practice Members | 53 |
| Line 1 Street Address | 7880 N UNIVERSITY DR |
| Line 2 Street Address | 303 COMPREHENSIVE MEDPSYCH SYSTEMS |
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| City | TAMARAC |
| State | FL |
| Zip Code | 333212124 |
| Phone Number | 9543403000 |
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| Professional Accepts Medicare Assignment | Y |
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