Individual
CAROLINA BOTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 E FLAGLER ST SUITE 1300, MIAMI, FL 33131
(305) 573-3784
Mailing address
5509 SW 6TH STREET, MIAMI, FL 33134
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54412
CTRS
—
Enumeration date
10/21/2014
Last updated
10/21/2014
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