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

Jacob Boutros

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124820303

Jacob Boutros is a Student in an Organized Health Care Education/Training Program in Lakeland, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone: (863) 687-1100
Show map & directions

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 number1124820303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543

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