Wanda M Boote is a Dermatology in St Petersburg, Florida. Wanda M Boote practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Wanda M Boote is 1063517050. The last update date is 2007-09-18.
Wanda M Boote'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 is 2060 5th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda M Boote |
|---|---|
| Address | 2060 5th Ave N, St Petersburg, Florida |
| Phone Number | 7278953376 |
| Fax Number | 7273623376 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063517050 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-09-18 |
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 | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 53607 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70012797 | FL | RR MEDICARE PROV NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wanda M Boote by the Centers for Medicare & Medicaid Services?
The Wanda M Boote has been assigned the NPI (National Provider Identifier) 1063517050 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Wanda M Boote?
The Wanda M Boote is situated at 2060 5Th Ave N, in the city of St Petersburg, state of FL, with the zip code 337138012.
What is the area of specialization for Wanda M Boote, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wanda M Boote is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date was the 1063517050 assigned to Wanda M Boote?
The Wanda M Boote was issued its 1063517050 on 2006-09-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wanda M Boote, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wanda M Boote, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-18.