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Individual

DR. MARIE MYRTHA GREGOIRE-BOTTEX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1971 SW 172ND AVE STE 3128, MIRAMAR, FL 33029-5592
(914) 462-7411
(914) 402-9389
Mailing address
2701 BISCAYNE BLVD APT 7102, MIAMI, FL 33137-5302
(914) 462-7411
(914) 402-9389

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
235797
NY
208000000X
Pediatrics Physician
4304301095389
MI
208000000X
Pediatrics Physician
ME138651
FL
2080P0214X
Pediatric Pulmonology Physician
235797
NY
2080P0214X
Pediatric Pulmonology Physician
4304301095389
MI
2080P0214X
Pediatric Pulmonology Physician
Primary
ME138651
FL
2080S0012X
Pediatric Sleep Medicine Physician
ME138651
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001
OSCAR
FL
01
002
UNITED HEALTH CARE
05
1020745-00
FL
01
11995072
CAQH
FL
01
235797
MEDICAL LICENSE
NY
01
4301095389
MEDICAL LICENSE
MI
01
5315042896
CONTROLLED SUBSTANCE LICENSE
MI
01
ME138651
MEDICAL LICENCE
FL
Enumeration date
08/05/2007
Last updated
08/05/2024
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