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Individual

BRANDI BOTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2120 E JOHNSON AVE STE 106, PENSACOLA, FL 32514-6091
(850) 494-6003
(877) 718-1039
Mailing address
2120 E JOHNSON AVE STE 106, PENSACOLA, FL 32514-6091
(850) 494-6003
(877) 718-1039

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111496
FL
363A00000X
Physician Assistant
PAT9111496
FL

Other

Enumeration date
09/18/2018
Last updated
05/23/2023
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