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General NPI Number Information
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NPI Number | 1972235885
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Entity Type | Individual
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Provider Name | AUSTIN J BOYD DO
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Gender | Male
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2600 IMMOKALEE RD
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City | NAPLES
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State | FL
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Zip | 34110-1424
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Country | US
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Telephone | 305-661-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 5955 PONCE DE LEON BLVD
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City | CORAL GABLES
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State | FL
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Zip | 33146-2423
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Country | US
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Telephone | 305-661-1515
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | UO8650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS22199
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License Number State | FL
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