Organization
NEW SMYRNA BEACH PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR J. BOTTING M.D. (PRESIDENT)
(386) 427-3401
Entity
Organization
Contact information
Practice address
401 PALMETTO ST, DEPT. OF PATHOLOGY, NEW SMYRNA BEACH, FL 32168-7322
(386) 427-3401
(386) 424-6465
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH9314
RAILROAD MEDICARE
—
Enumeration date
11/16/2005
Last updated
08/07/2007
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