Individual
MS. CLAUDIA BOTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
625 6TH AVE S, ST PETERSBURG, FL 33701-4662
(727) 553-7100
(727) 553-7198
Mailing address
625 6TH AVE S, ST PETERSBURG, FL 33701-4662
(727) 553-7100
(727) 553-7198
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100963
FL
363AS0400X
Surgical Physician Assistant
PA9100963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290646500
—
FL
Enumeration date
05/11/2006
Last updated
07/11/2023
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