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1366639569
WANDA M BOOTE MD PA
ST PETERSBURG, FL
NPI
1366639569
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Entity Type
Organization
Authorized Contact
WANDA M BOOTE
Owner/President
727-895-3376
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL 53607)
Enumeration Date
2007-10-02
Last Update Date
2007-10-02
Business Address
WANDA M BOOTE MD PA
2060 5TH AVE N
ST PETERSBURG, FL 33713-8012
Phone number: 727-895-3376
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Mailing Address
WANDA M BOOTE MD PA
2060 5TH AVE N
ST PETERSBURG, FL 33713-8012
Phone number: 727-895-3376
Copy
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