Organization
PAIN AND PRIMARY CARE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A BOTERO M.D. (OWNER, PHYSICIAN)
(813) 764-9355
Entity
Organization
Contact information
Practice address
702 N ALEXANDER ST, PLANT CITY, FL 33563-3064
(813) 764-9355
(813) 764-0695
Mailing address
702 N ALEXANDER ST, PLANT CITY, FL 33563-3064
(813) 764-9355
(813) 764-0695
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH3897
RAILROAD MEDICARE
FL
Enumeration date
02/01/2007
Last updated
09/18/2014
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