DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JASON REDWOOD BOOLE, M.D.

Active

DR. JASON REDWOOD BOOLE, M.D. is a Otolaryngology healthcare provider located in FORT WALTON BEACH, Florida. NPI 1104818350 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · FORT WALTON BEACH, FL

Registration Details

NPI Number
1104818350
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2005 (21.032280929305 yrs)
Last Updated
Apr 13, 2019
Licenses
L9631 (TX)
ME96773 (FL)
L9631 (TX)
ME96773 (FL)
ME96773 (FL)

Practice Information

Address
310 RACETRACK RD NW STE 100
FORT WALTON BEACH, FL, 325471553
Browse FL providers · Browse ZIP 32547
Phone
8508894550
Fax
8508894549
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
207YS0012X
Additional Specialty
207YS0012X
Additional Specialty
Otology & Neurotology
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in FORT WALTON BEACH, FL

Name Credential NPI
DR. LAWRENCE B. BLUMBERG MD 1720112238
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.