MEDICARE: MRS. AMANDA JANE BOTHA M.S. CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SA12524	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578827853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA JANE BOTHA M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	602 MARINER BAY BLVD
Second Line	:
City	:	HUTCHINSON ISLAND
State	:	FL
Zip	:	34949-3602
Country	:	US
Telephone Number	:	954-439-6043
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 MARINER BAY BLVD
Second Line	:
City	:	HUTCHINSON ISLAND
State	:	FL
Zip	:	34949-3602
Country	:	US
Telephone Number	:	954-439-6043
Fax Number	:

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

Provider Enumeration Date	:	07/01/2012
Last Update Date	:	10/25/2020

Similar Medicare Providers

1629447313 — OH MARKETING SERVICES INC. DBA BEACHSIDE REHAB
Practice Location Address:

4005 N HIGHWAY A1A
HUTCHINSON ISLAND, FL
34949-8524

Practice Phone: 561-365-3758
Practice Fax:

1306110929 — KIMBERLY GAITES MS
Practice Location Address:

5271 BEACHBLANKET CIR
HUTCHINSON ISLAND, FL
34949-8406

Practice Phone: 203-233-2782
Practice Fax:

1336533918 — FIRST CLASS DIAGNOSTICS LLC
Practice Location Address:

4005 N A1A
HUTCHINSON ISLAND, FL
34949-8524

Practice Phone: 561-365-3758
Practice Fax: 772-252-5470

1205335734 — JOSE ANTONIO GONZALEZ
Practice Location Address:

45 SOVEREIGN WAY
HUTCHINSON ISLAND, FL
34949-8367

Practice Phone: 772-370-0101
Practice Fax:

1104325638 — RYDE'S TRANSPORT LLC
Practice Location Address:

45 SOVEREIGN WAY
HUTCHINSON ISLAND, FL
34949-8367

Practice Phone: 772-370-0101
Practice Fax:

1255997342 — COST EFFECTIVE ENTERPRISES, LLC
Practice Location Address:

5049 N HWY A1A APT 304
HUTCHINSON ISLAND, FL
34949-8287

Practice Phone: 772-242-3570
Practice Fax:

Directions to “ MRS. AMANDA JANE BOTHA M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.