James J Booker Iv Md Pa

LBN: James J Booker Iv Md Pa
James J Booker Iv Md Pa is an health care organization with primary practice located at 400 Avenue K Se Ste 2, Winter Haven FL 33880-4146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. James J Booker Iv Md Pa can be contacted via phone (863) 299-1107, or through Booker, James J via phone (863) 676-6088.

Contact Information

Primary practice address
400 Avenue K Se Ste 2 Winter Haven FL 33880-4146
Phone: (863) 299-1107
Fax: (863) 291-3318
Website:
Map and Directions
Authorized official contact:
Name: Booker, James J Doctor of Medicine (MD)
Phone: (863) 676-6088

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1639181076
LBN Legal business name James J Booker Iv Md Pa
DBA Doing business as
Authorized official Booker, James J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 26th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639181076 NPPES
Florida Other 271245801 MEDICAID - WINTERHAVEN
Florida Other DD5266 MEDICAID - WINTERHAVEN

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