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

Luke Theriault, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699616227

Luke Theriault, MD is a Student in an Organized Health Care Education/Training Program in Deerfield Beach, Florida. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone: (954) 876-2798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 — (954) 355-4400

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence S59232315 (MA)

Record details

NPI number1699616227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

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