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Organization
DR BOTTKOL APRN DNP LLC
Active
Organization
DR BOTTKOL APRN DNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE BOTTKOL APRN DNP (OWNER)
(850) 381-1866
Entity
Organization
Contact information
Practice address
406 LASIESTA DRIVE, MEXICO BEACH, FL 32456
(850) 381-1866
Mailing address
406 LASIESTA DRIVE, MEXICO BEACH, FL 32456
(850) 381-1866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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