Wanda M Boote Md Pa in St Petersburg - Specialist
Wanda M Boote Md Pa - NPI 1366639569
Wanda M Boote Md Pa is a Specialist in St Petersburg, Florida. Wanda M Boote Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wanda M Boote Md Pa is 1366639569. The last update date is 2007-10-02.
Wanda M Boote Md Pa's current location address is 2060 5th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7278953376 and fax number 7273623376. The mailing address for Wanda M Boote Md Pa is 2060 5th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wanda M Boote Md Pa |
|---|---|
| Address | 2060 5th Ave N, St Petersburg, Florida |
| Phone Number | 7278953376 |
| Fax Number | 7273623376 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Boote M Wanda |
| Credentials | MD |
| Telephone Number | 7278953376 |
NPI Number Detail
| NPI Number | 1366639569 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
| Address | 2060 5th Ave N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337138012 |
| Phone Number | 7278953376 |
| Fax Number | 7273623376 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 53607 |
|
Definition: 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. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wanda M Boote Md Pa by the Centers for Medicare & Medicaid Services?
The Wanda M Boote Md Pa has been issued the NPI (National Provider Identifier) 1366639569 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Wanda M Boote Md Pa is physically located?
The Wanda M Boote Md Pa is situated at the following address: 2060 5Th Ave N, St Petersburg, FL 337138012.
What is Wanda M Boote Md Pa's area of expertise and its corresponding taxonomy classification?
The Wanda M Boote Md Pa's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Wanda M Boote Md Pa receive its 1366639569 assignment from the Centers for Medicare & Medicaid Services?
The Wanda M Boote Md Pa was assigned its 1366639569 by the Centers for Medicare & Medicaid Services on 2007-10-02.
As of what date was the information regarding Wanda M Boote Md Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wanda M Boote Md Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-02.
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