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

Edmund Boulting MD PA

Organization Obstetrics & Gynecology Physician · NPI 1821123654

Edmund Boulting MD PA is an Obstetrics & Gynecology Physician in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 W Lake Mary Blvd Ste 206
Lake Mary, FL 32746-3501
Phone: (407) 323-2727
Fax: (407) 323-2771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME70127 (FL)

Record details

NPI number1821123654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Toni Sell — Owner · (407) 323-2727
Other names Lake Mary Obstetrics And Gynecology
NPI enumeratedFebruary 22, 2007
Last updated in NPPESFebruary 7, 2008
Mailing address2500 W Lake Mary Blvd, Suite 206, Lake Mary, FL 32746-3501

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