Individual
LARRY D. BOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 AVENUE F NE, DEPT. OF PATHOLOGY, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6071
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME47913
FL
Other
Enumeration date
11/15/2005
Last updated
08/03/2007
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