Boothby, Charles Moore
Boothby, Charles Moore is an individual health care provider with primary practice located at 3890 Tampa Rd Suite 201, Palm Harbor FL 34684-3676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Boothby, Charles Moore can be contacted via phone (727) 781-3111.Contact Information
Primary practice address
3890 Tampa Rd Suite 201
Palm Harbor FL 34684-3676
Phone: (727) 781-3111
Fax: (727) 781-3113
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | OS4598 | Florida |
Profile Details
NPI number | 1588600092 |
---|---|
LBN Legal business name | Boothby, Charles Moore |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Mar 29th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588600092 | NPPES |
Florida | MEDICAID | 069165800 |
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