Wanda M Boote MD

NPI 1063517050 - Dermatology - 207N00000X

NPI Details
NPI 1063517050
Gender Female
Enumeration Date 09/14/2006
Last Updated 09/18/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2060 5TH AVE N
ST PETERSBURG FL, 33713-8012, US
Phone (727) 895-3376
Fax (727) 362-3376
Business Location
2060 5TH AVE N
ST PETERSBURG FL, 33713-8012, US
Phone (727) 895-3376
Fax (727) 362-3376
Toxanomy
Taxonomy Code 207N00000X
License State Florida
License Number 53607
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According to our database, Dr. Wanda M Boote MD NPI is 1063517050, taxonomy code is 207N00000X and license number is 53607, license state is located at Florida. Wanda M Boote MD physically located at 2060 5th Ave N, St Petersburg FL, 33713-8012. NPI Number Wanda M Boote MD has the Individual type.

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1063517050 NPI number is provided on an as is basis without warranty of any kind. 1063517050 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda M Boote MD are for informational purposes only.