Individual
AARON ASHLEY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34112
NH
207L00000X
Anesthesiology Physician
94-05929 TEMPORARY
KS
207L00000X
Anesthesiology Physician
Primary
ME107931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002967800
—
FL
05
—
124516
—
AL
05
—
131072
—
AL
01
—
14A5L
BLUE CROSS BLUE SHIELD
FL
01
—
592-12991
BLUE CROSS BLUE SHIELD
AL
01
—
P00901580
MEDICARE RAILROAD
—
Enumeration date
04/12/2007
Last updated
01/09/2025
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