Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES MOORE BOOTHBY, DO
ActiveCHARLES MOORE BOOTHBY, DO is a 2083P0011X healthcare provider located in PALM HARBOR, Florida. NPI 1588600092 is currently active in the NPPES registry. Verify at CMS.
2083P0011X · PALM HARBOR, FL
Registration Details
- NPI Number
- 1588600092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.178414409749 yrs)
- Last Updated
- Mar 29, 2016
- License
-
OS4598 (FL)
Practice Information
- Address
-
3890 TAMPA RDSUITE 201PALM HARBOR, FL, 346843676Browse FL providers · Browse ZIP 34684
- Phone
- 7277813111
- Fax
- 7277813113
- Primary Specialty
-
2083P0011X
2083P0011X
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.