Individual
TEDDY BOTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3403 SW 152ND PASS, MIAMI, FL 33185-4835
(786) 496-0569
Mailing address
2423 SW 147TH AVE # 624, MIAMI, FL 33185-4082
(786) 399-4504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MT4843
FL
Other
Enumeration date
09/15/2021
Last updated
12/28/2025
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