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
Fax: (727) 781-3113
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588600092 NPPES
Florida MEDICAID 069165800

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