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

Brent Boodhai

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285232868

Brent Boodhai is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

655 W 8th St Clinical Center 7-088
Jacksonville, FL 32209
Phone: (904) 383-1014
Fax: (904) 244-5047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1285232868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2020
Last updated in NPPESMarch 29, 2023
Certification dateMarch 25, 2023
Mailing address655 West 8th St. Clinical Center 7-088, Jacksonville, FL 32209

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