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Organization
WANDA M BOOTE MD PA
Active
Organization
WANDA M BOOTE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA M BOOTE MD (OWNER/PRESIDENT)
(727) 895-3376
Entity
Organization
Contact information
Practice address
2060 5TH AVE N, ST PETERSBURG, FL 33713-8012
(727) 895-3376
(727) 362-3376
Mailing address
2060 5TH AVE N, ST PETERSBURG, FL 33713-8012
(727) 895-3376
(727) 362-3376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53607
FL
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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