Organization
JAMES J BOOKER IV MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J BOOKER IV MD (OWNER / PROVIDER)
(863) 676-6088
Entity
Organization
Contact information
Practice address
400 AVENUE K SE, STE 2, WINTER HAVEN, FL 33880-4146
(863) 299-1107
(863) 291-3318
Mailing address
PO BOX 24506, TAMPA, FL 33623-4506
(727) 823-2188
(727) 823-9502
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271245801
MEDICAID - WINTERHAVEN
FL
01
—
DD5266
RAILROAD MEDICARE
—
Enumeration date
08/13/2006
Last updated
02/26/2009
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