DR. WANDA M BOOTE


Address: 2060 5th Ave N, St Petersburg, FL 33713-8012
Phone: 7278953376

DR. WANDA M BOOTE (NPI# 1063517050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063517050
Entity Type Individual
Full Name DR. WANDA M BOOTE
Credential MD
Practice Address 2060 5th Ave N
St Petersburg
FL 33713-8012
Practice Telephone 7278953376
Practice Fax Number 7273623376
Mailing Telephone 7278953376
Mailing Fax Number 7273623376
Enumeration Date 2006-09-14
Last Update Date 2007-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 53607 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL RR MEDICARE PROV NUMBER 070012797 01

Office Location

Street Address 2060 5TH AVE N
City ST PETERSBURG
State FL
Zip Code 33713-8012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366639569 Wanda M Boote Md Pa Specialist 2060 5th Ave N, St Petersburg, FL 33713-8012 2007-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073122230 Busy Bee Aba Therapy LLC Assistant Behavior Analyst 441 33rd Street North #407, St. Petersburg, FL 33713 2020-07-23
1902428899 Taylor Lorraine Fowler Behavior Technician 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 2020-05-13
1770120180 Mai Family and Sedation Dentistry, Pa Dentist 495 31st Street North, St. Petersburg, FL 33713 2019-12-04
1932672524 Julie Marlowe Gilbert Dermatology 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 2019-01-07
1962992024 Lauren Elizabeth Oloughlin Nurse Practitioner 1001 37th St N Ste C, St Petersburg, FL 33713 2018-05-15
1447766316 Melanie Marie Byrne Assistant Behavior Analyst 5185 45th St N, Bldg C, St. Petersburg, FL 33713 2017-12-14
1942679683 Teresa E Peak Physician Assistant 2191 9th Ave N St 220, St. Petersburg, FL 33713 2015-09-23
1639555204 Priya Panara Internal Medicine 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 2015-08-06
1730568635 Kevin Michael Carbonell Dentist 3863 Central Avenue, Saint Petersburg, FL 33713 2015-05-26
1558752972 Sage Program, LLC Community/Behavioral Health 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 2015-02-06
Find all providers in zip 33713

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255981338 Alexandra Coad Dermatology 2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147 2019-09-19
1417421066 Yvonne L Bruner Dermatology 4307 71st St N, St Petersburg, FL 33709-4513 2019-01-16
1396126744 Katarina Rose Kesty Dermatology 100 40th Ave N, St Petersburg, FL 33703-6125 2015-06-11
1619105145 Dermatology Partners of Saint Petersburg, LLC Dermatology 501 Mlk Jr St S, St Petersburg, FL 33705-1814 2009-06-23
1124215199 John F Kirk Md, Pa Dermatology 4444 Central Ave, St Petersburg, FL 33711-1142 2007-10-03
1316139249 Elizabeth Arrington Dermatology 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4202 2007-08-14
1689688830 Carol Jeanne Sims-robertson Dermatology 2100 Dr Martin Luther King Jr St N, Divine Dermatology Pllc, St Petersburg, FL 33704-3264 2006-07-27
1841240462 Margaret Ann Kelleher Dermatology 6110 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1142 2006-05-12
1609840487 Margaret H Rinker Dermatology 6450 38th Ave N Ste 330, St Petersburg, FL 33710-1649 2006-02-16
1235124967 James C. Mauch Dermatology 620 10th St N, St Petersburg, FL 33705-1407 2005-09-19
Find all providers in ST PETERSBURG

Competitor

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City ST PETERSBURG
Zip Code 33713

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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