Individual
SISIR BOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4712 N ARMENIA AVE, SUITE 200, TAMPA, FL 33603-2611
(813) 874-7500
Mailing address
4712 N ARMENIA AVE, SUITE 200, TAMPA, FL 33603-2611
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
ME124764
FL
Other
Enumeration date
06/25/2008
Last updated
07/15/2015
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