Individual
DONALD MURRILL BOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 N ORANGE AVE, SUITE 700, ORLANDO, FL 32804-5505
(407) 303-2474
(407) 303-0680
Mailing address
2415 N ORANGE AVE, SUITE 700, ORLANDO, FL 32804-5505
(407) 303-2474
(407) 303-0680
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME110685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003900000
—
FL
Enumeration date
05/12/2006
Last updated
04/21/2016
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