Individual
DR. RAFAEL JESSE BOTTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9350 SUNSET DR STE 151, MIAMI, FL 33173-3286
(786) 548-1022
Mailing address
17900 NW 5TH ST, SUITE 201, PEMBROKE PINES, FL 33029-2808
(954) 494-6813
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7746
FL
Other
Enumeration date
08/29/2008
Last updated
12/29/2023
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