Individual
REBECCA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2112 DEBORAH DR, PUNTA GORDA, FL 33950-8134
(941) 681-0701
Mailing address
2112 DEBORAH DR, PUNTA GORDA, FL 33950-8134
(941) 681-0701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9226235
FL
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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