Individual
DR. RENE A BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FLORIDA ENT & ALLERGY, 5105 N ARMENIA AVE, TAMPA, FL 33603-1405
(813) 879-8045
(813) 876-6504
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0044406
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME44406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036277800
—
FL
Enumeration date
10/05/2006
Last updated
05/03/2019
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