Individual
RENE K BOTSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97013 HARBOR CONCOURSE CIR, FERNANDINA BEACH, FL 32034-3868
(585) 414-0994
Mailing address
97013 HARBOR CONCOURSE CIR, FERNANDINA BEACH, FL 32034-3868
(585) 414-0994
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
320731691220
FL
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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