CHARLES MOORE BOOTHBY

PALM HARBOR, FL
NPI1588600092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: FL  OS4598)
Enumeration Date2006-06-22
Last Update Date2016-03-29
Business Address
-- CHARLES MOORE BOOTHBY DO
3890 TAMPA RD SUITE 201
PALM HARBOR, FL 34684-3676
Phone number: 727-781-3111
Mailing Address
-- CHARLES MOORE BOOTHBY DO
PO BOX 25513
TAMPA, FL 33622-5513
Phone number: 727-823-2188