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1912486028
TATIANA FERNANDEZ BOTERO
ORLANDO, FL
NPI
1912486028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: FL PTA21773)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
TATIANA FERNANDEZ BOTERO
7975 LAKE UNDERHILL RD
ORLANDO, FL 32822-8202
Phone number: 407-303-8626
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Mailing Address
TATIANA FERNANDEZ BOTERO
7975 LAKE UNDERHILL RD STE 345
ORLANDO, FL 32822-8209
Phone number: 407-303-8626
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