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

Luis L Boulart

Individual provider Family Nurse Practitioner · NPI 1225639180

Luis L Boulart is a Nurse Practitioner in Miami, Florida. Qualified in 2018, 8 years ago. Practices with Nova Medical Services LLC, a 30-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

8260 W Flagler St Ste 2I
Miami, FL 33144-2069
Phone: (786) 715-9183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9725 Nw 117th Ave Ste 200, Medley, FL 33178-1260 — (954) 514-9360

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11008799 (FL)

Record details

NPI number1225639180
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nova Medical Services Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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