Botana, Teddy

Botana, Teddy is an individual health care provider with primary practice located at 2601 W Lake Mary Blvd. #113, Lake Mary FL 32746. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Botana, Teddy can be contacted via phone (407) 328-1005.

Contact Information

Primary practice address
2601 W Lake Mary Blvd. #113 Lake Mary FL 32746
Phone: (407) 328-1005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1386314987
LBN Legal business name Botana, Teddy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 3 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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