Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | SCOPE OF PRACTICE | FL |
NPI | 1528104791 |
---|---|
Provider Name | Robert H. Booker |
First Address | Ridge Manor, FL 33523 |
Second Address | Dade City, FL 33525-4323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 10/03/2021 |