Booth, Gynnekia Marie

Booth, Gynnekia Marie is an sole proprietor health care provider with primary practice located at 4873 Belle Terre Pkwy , Palm Coast FL 32137-8696. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Booth, Gynnekia Marie can be contacted via phone (386) 864-8313.

Contact Information

Primary practice address
4873 Belle Terre Pkwy Palm Coast FL 32137-8696
Phone: (386) 864-8313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DN25483 Florida

Profile Details

NPI number 1518586403
LBN Legal business name Booth, Gynnekia Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2020
Last updated Sep 23rd, 2020 - about 6 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.

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