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

Therese Boulay

Individual provider Family Nurse Practitioner · NPI 1366318149

Therese Boulay is a Nurse Practitioner in Hollywood, Florida. Qualified in 2025, 1 year ago. Practices with Primary Care Solutions Jacksonville LLC, a 13-clinician group. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

11011 Sheridan St Ste 106
Hollywood, FL 33026-1501
Phone: (786) 303-9175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11042947 (FL)

Record details

NPI number1366318149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address15121 Nw 7th Ct, Pembroke Pines, FL 33028-1856

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Primary Care Solutions Jacksonville Llc — 13 clinicians
Accepts Medicare assignment Not indicated

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