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NPI Code Detail

MEDICARE: DAVID LEE BOTTON LIC. A.P.

MEDICARE: DAVID LEE BOTTON LIC. A.P.
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
1171100000XAcupuncturistAP 2561FL

General Provider Information

NPI Number : 1457510794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEE BOTTON LIC. A.P.
Provider Business Mailing Address
First Line : 3560 SW 48TH CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-8255
Country : US
Telephone Number : 954-591-8672
Fax Number :
Provider Business Practice Location Address
First Line : 3402 GRIFFIN RD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-5564
Country : US
Telephone Number : 954-591-8672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 01/08/2018

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