Botner, Bryan Keith

Botner, Bryan Keith is an sole proprietor health care provider with primary practice located at 1801 Lee Rd Ste 165 , Winter Park FL 32789-2127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Botner, Bryan Keith can be contacted via phone (407) 922-7691.

Contact Information

Primary practice address
1801 Lee Rd Ste 165 Winter Park FL 32789-2127
Phone: (407) 922-7691
Fax: (407) 975-0407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 29899 Kentucky
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME119694 Florida

Profile Details

NPI number 1134252349
LBN Legal business name Botner, Bryan Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Mar 4th, 2019 - about 5 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 1134252349 NPPES
Kentucky Other 43105 ANTHEM BC AND BS

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