Individual
HANY BOTROS MIKHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 W WINDHORST RD, BRANDON, FL 33510-2455
(678) 923-6025
Mailing address
PO BOX 1584, CUMMING, GA 30028-1584
(678) 923-6025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME95351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013014737
—
FL
Enumeration date
09/17/2006
Last updated
02/13/2019
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