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Export Provider Record NPI 1215023023
Rene A BoothbyMD
Active
NPI Number1215023023
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology
Provider Details
NPI1215023023
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-10-05
Last Updated2019-05-03
Mailing AddressSelect Physicians Alliance, 10002 Princess Palm Ave. Ste 332
Tampa, FL 33619-8327
United States
Phone: (813) 571-7184 | Fax: (813) 654-4695
📍 View Map
Primary Practice AddressFlorida Ent & Allergy, 5105 N Armenia Ave
Tampa, FL 33603-1405
United States
Phone: (813) 879-8045 | Fax: (813) 876-6504
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL036277800-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207YX0905X – Otolaryngology, Otolaryngology/Facial Plastic SurgeryFLME44406
Yes207Y00000X – OtolaryngologyFLME0044406
Export Provider Record NPI 1215023023
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About NPI 1215023023

Rene A Boothby MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215023023. The primary specialty listed is Otolaryngology. The provider is located in Tampa, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215023023?

NPI 1215023023 belongs to Rene A Boothby MD, a Otolaryngology in Tampa, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215023023 active?

The current status of NPI 1215023023 in the NPPES registry is Active. The record was last updated on 2019-05-03.

What specialty is NPI 1215023023?

NPI 1215023023 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215023023?

You can verify NPI 1215023023 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215023023?

The primary practice address on file for NPI 1215023023 is Florida Ent & Allergy, Tampa, FL 33603-1405. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215023023 issued?

NPI 1215023023 was first issued (enumerated) on 2006-10-05. The NPPES record was last updated on 2019-05-03.

Practice Location Map

Rene A Boothby is located at Florida Ent & Allergy, Tampa, FL. Use the map below to find directions or verify the practice location.

📍 Florida Ent & Allergy, Tampa, FL 33603-1405  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Rene A Boothby. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1215023023. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology, Otolaryngology/Facial Plastic SurgeryME44406FL
OtolaryngologyME0044406FL
Data Verified from CMS NPPES Last synced: 2026-07-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162