# PAIN AND PRIMARY CARE CENTER, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528105921
- **Authorized official:** CARLOS A BOTERO M.D. (OWNER, PHYSICIAN)
- **Authorized official phone:** (813) 764-9355

## Contact information

- **Practice address:** 702 N ALEXANDER ST, PLANT CITY, FL 33563-3064
- **Practice address phone:** (813) 764-9355
- **Practice address fax:** (813) 764-0695
- **Mailing address:** 702 N ALEXANDER ST, PLANT CITY, FL 33563-3064
- **Mailing address phone:** (813) 764-9355
- **Mailing address fax:** (813) 764-0695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 09/18/2014