Botha, Tracey
Botha, Tracey is an individual health care provider with primary practice located at 724 Nw 43Rd Street , Gainesville FL 32607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Botha, Tracey can be contacted via phone (352) 332-7222.Contact Information
Primary practice address
724 Nw 43Rd Street
Gainesville FL 32607
Phone: (352) 332-7222
Fax: (352) 332-7330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME90653 | Florida |
Profile Details
| NPI number | 1063486066 |
|---|---|
| LBN Legal business name | Botha, Tracey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Dec 9th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063486066 | NPPES |
| Florida | MEDICAID | 272547900 |
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