Boothby, Rene A
Boothby, Rene A is an individual health care provider with primary practice located at Florida Ent & Allergy 5105 N Armenia Ave, Tampa FL 33603-1405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Boothby, Rene A can be contacted via phone (813) 879-8045.Contact Information
Primary practice address
Florida Ent & Allergy 5105 N Armenia Ave
Tampa FL 33603-1405
Phone: (813) 879-8045
Fax: (813) 876-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | ME44406 | Florida |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME0044406 | Florida |
Profile Details
| NPI number | 1215023023 |
|---|---|
| LBN Legal business name | Boothby, Rene A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 3rd, 2019 - about 6 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 | 1215023023 | NPPES |
| Florida | MEDICAID | 036277800 |
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