Amanda L Booth, RN is a 
Registered Nurse based in Cape Canaveral, Florida. Amanda L Booth is licensed to practice in Florida (license number 9518481) and her current practice location is 
250 Coral Dr, Cape Canaveral, Florida. She can be reached at her office (for appointments etc.) via phone at 
(330) 697-4424.
NPI number for Amanda L Booth is 1780490250 and her current mailing address is 250 Coral Dr, Cape Canaveral, Florida. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780490250.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Amanda L Booth | 
|---|
| Gender | Female | 
|---|
| Speciality | Registered Nurse | 
|---|
| Location | 250 Coral Dr, Cape Canaveral, Florida | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1780490250
 - Provider Enumeration Date: 12/09/2024
 - Last Update Date: 12/09/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Amanda L Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1780490250 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 163W00000X | Registered Nurse  | 9518481 (Florida) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda L Booth is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Amanda L Booth, RN 250 Coral Dr, Cape Canaveral, FL 32920-2502 Ph: (330) 697-4424 | Amanda L Booth, RN 250 Coral Dr, Cape Canaveral, FL 32920-2502 Ph: (330) 697-4424 | 
		
		 
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