Boote, Wanda M
Boote, Wanda M is an sole proprietor health care provider with primary practice located at 2060 5Th Ave N , St Petersburg FL 33713-8012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Boote, Wanda M can be contacted via phone (727) 895-3376.Contact Information
Primary practice address
2060 5Th Ave N
St Petersburg FL 33713-8012
Phone: (727) 895-3376
Fax: (727) 362-3376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 53607 | Florida |
Profile Details
| NPI number | 1063517050 |
|---|---|
| LBN Legal business name | Boote, Wanda M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Sep 18th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063517050 | NPPES |
| Florida | Other | 070012797 | RR MEDICARE PROV NUMBER |
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