WANDA M BOOTE MD PA
NPI 1366639569
Specialist in St Petersburg, FL

Q: What is Wanda M Boote MD PA's NPI number?

The NPI number for Wanda M Boote MD PA is 1366639569. It was assigned to this organization in the NPPES registry on October 2, 2007.

Q: What is Wanda M Boote MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 02, 2007

2060 5TH AVE N, ST PETERSBURG, FL 33713(727) 895-3376(727) 362-3376 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wanda M Boote Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA M BOOTE MD PA (NPI 1366639569) is a healthcare organization registered as a specialist in St Petersburg, Florida and active in the NPI registry since October 2007. The organization lists Wanda M Boote, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1366639569

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameWANDA M BOOTE MD PA

Location Address2060 5TH AVE NSt Petersburg, FL 33713-8012

Mailing Address2060 5th Ave NSt Petersburg, FL 33713-8012 · (727) 895-3376 · Fax (727) 362-3376

Phone(727) 895-3376

Fax(727) 362-3376

Organization SubpartNo

Authorized OfficialWanda M BooteOwner/president · (727) 895-3376

Enumeration DateOctober 2, 2007

✔ NPI 1366639569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · 53607

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2060 5TH AVE N, St Petersburg, FL 33713

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Other Identifiers 3

Medicare UPINB64520FL

Medicare PIN07255BFL

Medicare PINK8768FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WANDA M BOOTE MD

Dermatology

2060 5TH AVE N
ST PETERSBURG, FL 33713

Pinellas County (727) 895-3376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda M Boote MD PA's NPI number?

The NPI number for Wanda M Boote MD PA is 1366639569. It was assigned to this organization in the NPPES registry on October 2, 2007.

Where is Wanda M Boote MD PA located?

Wanda M Boote MD PA is located at 2060 5th Ave N, St Petersburg, FL 33713. The listed phone number is (727) 895-3376.

What is Wanda M Boote MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Wanda M Boote MD PA was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.