Botero, Carlos Alberto

Botero, Carlos Alberto is an sole proprietor health care provider with primary practice located at 541 S Florida Ave , Lakeland FL 33801-5228. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Botero, Carlos Alberto can be contacted via phone (863) 682-7246.

Contact Information

Primary practice address
541 S Florida Ave Lakeland FL 33801-5228
Phone: (863) 682-7246
Fax: (863) 682-5566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME72561 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X ME72561 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME72561 Florida

Profile Details

NPI number 1902880933
LBN Legal business name Botero, Carlos Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Feb 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902880933 NPPES
Florida Other 32989 BCBS
Florida Other 050077125 BCBS

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