Whalio Doctors

NPI 1063517050

Wanda M Boote, MD

Practitioner Dermatology Physician St Petersburg, FL

Practice location

Address
2060 5th Ave N, St Petersburg, FL 33713-8012
Phone
(727) 895-3376
Fax
(727) 362-3376

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 53607 (FL)

Registry record

NPI
1063517050
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Sep 2006
Record last updated
18 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.