Individual
MRS. EMILY MF BOTZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD BLDG ROOM513, GAINESVILLE, FL 32610-3003
(352) 265-8017
Mailing address
PO BOX 103450, GAINESVILLE, FL 32610-3450
(352) 265-8017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME170090
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123738400
—
FL
Enumeration date
04/27/2021
Last updated
09/19/2024
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