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

Bouloute Healthcare Services, LLC

Organization Podiatrist · NPI 1104343532

Bouloute Healthcare Services, LLC provides Podiatrist services in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5049 Anchorstone Dr
Woodbridge, VA 22192-8320
Phone: (678) 517-4214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 01303301212 (VA)

Record details

NPI number1104343532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Owmy Bouloute — Owner · (678) 517-4214
NPI enumeratedAugust 25, 2017
Last updated in NPPESAugust 25, 2017
Mailing address8653 16th St Unit 7186, Silver Spring, MD 20907-7909

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