MEDICARE: DR. CLAIRE ZEKRY GEORGE BOTROS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME165183	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208000000X	Pediatrics Physician	2025-02600	NC

General Provider Information

NPI Number	:	1740775162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAIRE ZEKRY GEORGE BOTROS MD

Provider Business Mailing Address
First Line	:	PO BOX 12427
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317
Country	:	US
Telephone Number	:	850-297-0114
Fax Number	:	850-297-0314

Provider Business Practice Location Address
First Line	:	2623 CENTENNIAL BLVD
Second Line	:	SUITE 103
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308
Country	:	US
Telephone Number	:	850-877-6119
Fax Number	:	850-878-0148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2018
Last Update Date	:	03/09/2026

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