Provider Demographics
NPI:1699572230
Name:BOYD, LUCHANE (PA-C)
Entity type:Individual
Prefix:
First Name:LUCHANE
Middle Name:
Last Name:BOYD
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12264 ROYAL PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3288
Mailing Address - Country:US
Mailing Address - Phone:754-422-9272
Mailing Address - Fax:
Practice Address - Street 1:9801 BELVEDERE RD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3640
Practice Address - Country:US
Practice Address - Phone:754-422-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant