Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bouloute Healthcare Services, LLC

Organization Podiatrist · NPI 1104343532

Bouloute Healthcare Services, LLC is a Podiatrist in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5049 Anchorstone Dr
Woodbridge, VA 22192-8320
Phone: (678) 517-4214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 01303301212 (VA)

Record details

NPI number1104343532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Owmy Bouloute — Owner · (678) 517-4214
NPI enumeratedAugust 25, 2017
Last updated in NPPESAugust 25, 2017
Mailing address8653 16th St Unit 7186, Silver Spring, MD 20907-7909

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