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1699468967
MADISON BOOTZ
TAMPA, FL
NPI
1699468967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9117531)
Enumeration Date
2023-06-01
Last Update Date
2023-07-25
Business Address
MADISON BOOTZ PA-C
1 TAMPA GENERAL CIR
TAMPA, FL 33606-3571
Phone number: 813-821-8038
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Mailing Address
MADISON BOOTZ PA-C
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number: 813-821-8038
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