DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MELISSA A JOHNSON BOUCHER

Active Sole Proprietor

MRS. MELISSA A JOHNSON BOUCHER is a Podiatric Surgery healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1154027761 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · SAINT AUGUSTINE, FL

Registration Details

NPI Number
1154027761
Provider Type
Individual
Gender
Female
NPI Issued
Feb 6, 2023 (3.558035874004 yrs)
Last Updated
Feb 6, 2023
Sole Proprietor
Yes

Practice Information

Address
1245 ARDMORE ST
SAINT AUGUSTINE, FL, 320923441
Browse FL providers · Browse ZIP 32092
Phone
6313749793
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in SAINT AUGUSTINE, FL

Name Credential NPI
LAKISHA S RIVERS 1508535790
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.