Jason Redwood Boole in Fort Walton Beach - Otolaryngology
Jason Redwood Boole - NPI 1104818350
Jason Redwood Boole is a Otolaryngology in Fort Walton Beach, Florida. Jason Redwood Boole practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jason Redwood Boole is 1104818350. The last update date is 2019-04-13.
Jason Redwood Boole's current location address is 310 Racetrack Rd Nw, Fort Walton Beach, Florida. You can contact this provider via phone number 8508894550 and fax number 8508075217. The mailing address for Jason Redwood Boole is 310 Racetrack Rd Nw, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Redwood Boole |
|---|---|
| Address | 310 Racetrack Rd Nw, Fort Walton Beach, Florida |
| Phone Number | 8508894550 |
| Fax Number | 8508075217 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104818350 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2019-04-13 |
Provider Mailing Address Detail
| Address | 310 Racetrack Rd Nw |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325471553 |
| Phone Number | 8508894550 |
| Fax Number | 8508075217 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | L9631 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jason Redwood Boole by the Centers for Medicare & Medicaid Services?
The Jason Redwood Boole has been issued the NPI (National Provider Identifier) 1104818350, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jason Redwood Boole's facilities are geographically located?
The facilities of Jason Redwood Boole are physically situated at the following location: 310 Racetrack Rd Nw, Fort Walton Beach, FL, 325471553.
What is the Jason Redwood Boole's area of specialization and corresponding taxonomy classification?
The Jason Redwood Boole's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When did Jason Redwood Boole receive its 1104818350 assignment?
The Jason Redwood Boole was assigned its 1104818350 on 2005-08-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jason Redwood Boole, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason Redwood Boole, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-13.