Individual
MARIE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 361-5568
(321) 951-3124
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11015850
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11015850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112425000
—
FL
01
—
OO409
HF MEDICARE
FL
Enumeration date
10/08/2021
Last updated
06/11/2024
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