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Provider Profile

Keanu Boullon

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At a glance

About Keanu Boullon

Keanu Boullon is a healthcare provider located in Miami, FL. This provider record is associated with NPI 1144105982.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

FL licenceAs reported to the NPI registry
No. BACB1331319As reported
NPINational Provider Identifier
1144105982Issued 2025

As reported to the NPI registry ↗

Common questions

What is Keanu Boullon's address?

Keanu Boullon is listed at 12505 Sw 28Th St, Miami, FL 33175. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Keanu Boullon?

The number on file is (786) 770-5813. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Keanu Boullon's NPI number?

Keanu Boullon's National Provider Identifier is 1144105982. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Keanu Boullon been practicing?

Keanu Boullon has 1+ years experience. Registered with an NPI since 2025. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Keanu Boullon confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Keanu Boullon. If this is you, claiming it is free.

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