Individual
MEGAN EHLINGER BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1900
(352) 294-5050
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-1900
(352) 294-5050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME147837
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
11/20/2020
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