Individual
DIANE M. BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
4324 CLEVELAND HEIGHTS BLVD, LAKELAND, FL 33813-1706
(863) 698-6827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN695902
FL
Other
Enumeration date
03/08/2011
Last updated
06/12/2025
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