Richard B Boone (NPI# 1023080215, PAC ID# 0345285755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023080215 |
| PAC ID by PECOS | 0345285755 |
| Professional Enrollment ID | I20170427001231 |
| Full Name | Richard B Boone |
| Organization Legal Name | DWIC OF TAMPA BAY INC |
| Address |
12375 S Cleveland Ave Fort Myers FL 33907-3803 |
| Phone Number | 2399362013 |
| Gender | M |
| Credential | DO |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779573167 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 | 2399362013 | DWIC OF TAMPA BAY INC |
| Organization Legal Name | DWIC OF TAMPA BAY INC |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrian A Villarreal | Family Medicine | Dwic of Tampa Bay Inc | 11985 Atlantic Blvd, Jacksonville, FL 32225-2919 |
| Anthony R Conti | Family Medicine | Dwic of Tampa Bay Inc | 13005 Collier Blvd, Naples, FL 34116-4003 |
| Judy L Miles | Nurse Practitioner | Dwic of Tampa Bay Inc | 5616 Tuscola Blvd, North Port, FL 34287-2738 |
| Robin M Longley | Family Practice | Dwic of Tampa Bay Inc | 13856 N Dale Mabry Hwy, Tampa, FL 33618-2420 |
| Ravindra N Vajjhala | Emergency Medicine | Dwic of Tampa Bay Inc | 2810 W Mlk Blvd, Tampa, FL 33607-6393 |
| Juliette M Vanputten | Family Medicine | Dwic of Tampa Bay Inc | 7720 Merrill Rd, Jacksonville, FL 32277-3715 |
| Lucas J Mcarthur | Emergency Medicine | Dwic of Tampa Bay Inc | 8849 State Rd, Suite 52, Hudson, FL 34667-6742 |
| Sandra M Brown | Nurse Practitioner | Dwic of Tampa Bay Inc | 313 Se Pine Island Rd, Medexpress Urgent Care Cape Coral, Cape Coral, FL 33991-2043 |
| Carey Ledee Krause | Nurse Practitioner | Dwic of Tampa Bay Inc | 20677 Bruce B Downs Blvd, Tampa, FL 33647-3553 |
| Randal L Davis | Family Medicine | Dwic of Tampa Bay Inc | 26812 Us Hwy 19 N, Medexpress Urgent Care Clearwater, Clearwater, FL 33761-3405 |
| Street Address |
12375 S CLEVELAND AVE |
| City | FORT MYERS |
| State | FL |
| Zip | 33907-3803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhisnauth Churaman | Nurse Practitioner | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Valaree Alexis Luck | Family Medicine | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Gregory Grubb | Family Medicine | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Janet Dominguez-giron | Nurse Practitioner | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Phyllis D Wille | Nurse Practitioner | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Sean Hess | Internal Medicine | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Venessa Heath | Physician Assistant | Dwic of Tampa Bay Inc | 12375 S Cleveland Ave, Fort Myers, FL 33907-3803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott C Senne | Chiropractic | 13550 Reflection Lakes, Suite 504, Fort Myers, FL 33907 | |
| Mark A Lokitus | Psychiatry | Key W Professional Ctr 1342 Colonial Blvd, Building K Suite 102, Fort Myers, FL 33907-1011 | |
| Linda J Bunck | Clinical Social Worker | 1342 Colonial Blvd, Suite K119, Fort Myers, FL 33907-1012 | |
| Jose C Vasconcellos | Chiropractic | 1570 Colonial Blvd B, Fort Myers, FL 33907-1031 | |
| Helene B Shute | Clinical Social Worker | 1342 Colonial Blvd, B909, Fort Myers, FL 33907-1038 | |
| Bradley W Price | Chiropractic | 1429 Colonial Blvd, Suite 101, Fort Myers, FL 33907-1060 | |
| George E Bandli Iii | Chiropractic | 1615 Colonial Blvd, Fort Myers, FL 33907-1101 | |
| Bradford J Yaeger | Chiropractic | 1615 Colonial Blvd, Fort Myers, FL 33907-1101 | |
| Mary Ann Rocco | Clinical Social Worker | Omar Rieche Md Pa | 1705 Colonial Blvd, B1, Fort Myers, FL 33907-1141 |
| Victor J Drobnic | Chiropractic | 1646 Colonial Blvd, Suite 1, Fort Myers, FL 33907-1154 | |
| Find all physicians in zip 33907 | |||
| City | FORT MYERS |
| Zip Code | 33907 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT MYERS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard B Boone.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.