Individual
MOUSA BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
(305) 355-9028
Mailing address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
(305) 355-9028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME139115
FL
Other
Enumeration date
06/23/2015
Last updated
02/04/2020
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