# JAMES J BOOKER IV MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639181076
- **Authorized official:** JAMES J BOOKER IV MD (OWNER / PROVIDER)
- **Authorized official phone:** (863) 676-6088

## Contact information

- **Practice address:** 400 AVENUE K SE, STE 2, WINTER HAVEN, FL 33880-4146
- **Practice address phone:** (863) 299-1107
- **Practice address fax:** (863) 291-3318
- **Mailing address:** PO BOX 24506, TAMPA, FL 33623-4506
- **Mailing address phone:** (727) 823-2188
- **Mailing address fax:** (727) 823-9502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 02/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 271245801 | MEDICAID - WINTERHAVEN | FL |
| 01 | — | DD5266 | RAILROAD MEDICARE | — |