Bryan Keith Botner in Winter Park - Sports Medicine
Bryan Keith Botner - NPI 1134252349
Bryan Keith Botner is a Sports Medicine in Winter Park, Florida. Bryan Keith Botner practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Bryan Keith Botner is 1134252349. The last update date is 2019-03-04.
Bryan Keith Botner's current location address is 1801 Lee Rd Ste 165, Winter Park, Florida. You can contact this provider via phone number 4079227691 and fax number 4079750407. The mailing address for Bryan Keith Botner is 1801 Lee Rd Ste 165, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bryan Keith Botner |
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Address | 1801 Lee Rd Ste 165, Winter Park, Florida |
Phone Number | 4079227691 |
Fax Number | 4079750407 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1134252349 |
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Provider Enumeration Date | 2007-03-14 |
Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
Address | 1801 Lee Rd Ste 165 |
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City | Winter Park |
State | Florida (FL) |
Post Code | 327892127 |
Phone Number | 4079227691 |
Fax Number | 4079750407 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 2081S0010X |
Licence No | 29899 |
Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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43105 | KY | ANTHEM BC AND BS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bryan Keith Botner?
The Bryan Keith Botner has been issued the NPI (National Provider Identifier) 1134252349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bryan Keith Botner's facilities are situated?
The facilities of Bryan Keith Botner are physically located at the following address: 1801 Lee Rd Ste 165, Winter Park, FL, 327892127.
What is the Bryan Keith Botner's specialty and taxonomy code?
The Bryan Keith Botner's specialty is Sports Medicine, and the corresponding taxonomy code is 2081S0010X.
On what date did Bryan Keith Botner receive its 1134252349 assignment from the Centers for Medicare & Medicaid Services?
The Bryan Keith Botner was assigned its 1134252349 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Bryan Keith Botner last refreshed?
The information related to the Bryan Keith Botner, including its address, specialty, and other relevant details, was last updated on 2019-03-04.
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