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NPI Code Detail

MEDICARE: AMY BOUCHARD

MEDICARE:   AMY  BOUCHARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1366398307
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BOUCHARD
Provider Business Mailing Address
First Line : 2727 NW 43RD ST STE 6A
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-7004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2727 NW 43RD ST STE 6A
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-7004
Country : US
Telephone Number : 727-389-5517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ AMY BOUCHARD ” Practice Location

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