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1104676998
NICHOLAS BOOTH
PEMBROKE PINES, FL
NPI
1104676998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
NICHOLAS BOOTH MD
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028-1006
Phone number: 954-962-9650
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Mailing Address
NICHOLAS BOOTH MD
5005 COLLINS AVE APT 112
MIAMI BEACH, FL 33140-2742
Phone number: 470-495-1499
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