MEDICARE: DR. HENRY ALEXANDER BOILINI M.D.

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
1	2084P0800X	Psychiatry Physician	ME95152	FL
2	2084P0800X	Psychiatry Physician	22041	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	53303	OTHER	FL	FLORIDA BLUE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396730743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY ALEXANDER BOILINI M.D.

Provider Business Mailing Address
First Line	:	2606 CENTENNIAL PL
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-0572
Country	:	US
Telephone Number	:	850-205-0189
Fax Number	:	850-329-2903

Provider Business Practice Location Address
First Line	:	5850 T G LEE BLVD STE 490
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4407
Country	:	US
Telephone Number	:	407-214-2499
Fax Number	:	407-602-3074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	01/08/2026

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