Individual
JESSICA BOTERO BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8900 NORTH KENDALL DRIVE, THORACIC SURGERY, MIAMI, FL 33176
(786) 596-2000
(305) 279-7778
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109759
FL
Other
Enumeration date
09/19/2016
Last updated
09/19/2024
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