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1942462619
SISIR BOTTA
TAMPA, FL
NPI
1942462619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2088P0231X Urology, Pediatric Urology
(Licence: FL ME124764)
Enumeration Date
2008-06-25
Last Update Date
2015-07-15
Business Address
-- SISIR BOTTA
4712 N ARMENIA AVE SUITE 200
TAMPA, FL 33603-2611
Phone number: 813-874-7500
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Mailing Address
-- SISIR BOTTA
4712 N ARMENIA AVE SUITE 200
TAMPA, FL 33603-2611
Phone number:
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