| Charles Moore Boothby, DO | |
|
3890 Tampa Rd, Suite 201, Palm Harbor, FL 34684-3676 | |
| (727) 781-3111 | |
| (727) 781-3113 |
| Full Name | Charles Moore Boothby |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
| Location | 3890 Tampa Rd, Palm Harbor, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588600092 | NPI | - | NPPES |
| 069165800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | OS4598 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Moore Boothby, DO Po Box 25513, Tampa, FL 33622-5513 Ph: (727) 823-2188 | Charles Moore Boothby, DO 3890 Tampa Rd, Suite 201, Palm Harbor, FL 34684-3676 Ph: (727) 781-3111 |
Sara Khwaja, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2080 Simeon Dr, Palm Harbor, FL 34683 Phone: 727-401-4030 |
Montana Cole, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 31608 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-787-7077 |