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Individual

DR. GEORGE MANUEL BOTELHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9033 GLADES ROAD, SUITE D, BOCA RATON, FL 33434-4609
(954) 491-6969
(888) 426-8955
Mailing address
5456 GRAND PARK PL, BOCA RATON, FL 33486-1455
(954) 491-6969
(888) 426-8955

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME64267
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222259
AVMED
FL
01
23404
BC BS OF FLA
FL
05
279755100
FL
Enumeration date
09/06/2006
Last updated
06/06/2016
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