Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669564779 Individual Practitioner Male Practitioner

Paul Francis Bourque , CO

Specialist • Winter Park, FL

Professional Overview & Biography Verified Profile Summary

Paul Bourque, CO is a registered healthcare professional specializing in Specialist in Winter Park, FL. Practice services are available at 1222 ORANGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1222 Orange Ave
Ste B

Winter Park, FL 327894918

Telephone 4077407772
Fax 4075391791
Associated Practice Facility / Clinic
🏢 Specialty Brace & Limb, Inc. Facility NPI 1184669939

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Winter Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.3 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Winter Park, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ORT6

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1346277415

Certified Orthotist

NPI 1649213448

Certified Orthotist

NPI 1881722379

Certified Orthotist

Sandy Bransford

Orthotic Fitter

NPI 1952344715

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1222 ORANGE AVE, STE B, WINTER PARK, FL 327894918 (Tel: 4077407772)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2704 STONE AVE, DELAND, FL 327203803 (Tel: 3867382833)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL BOURQUE, CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #ORT6 in FL)

🟢
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669564779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2704 Stone Ave

Deland, FL 327203803

Phone: 3867382833

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.