Individual
ASHLEY BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9109159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018439700
—
FL
01
—
PA9109159
MEDICAL LICENSE
FL
Enumeration date
10/20/2015
Last updated
11/17/2016
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