Gabriela Lopez Botero, P.A.-C

NPI #1356702930 in Coconut Creek, Florida

Provider Information

NPI Number: 1356702930
Entity Type: Individual
Name: Gabriela Lopez Botero, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Mar 10, 2016
Last Updated: Mar 10, 2016

Practice Location

Address: 5355 LYONS RD
City: Coconut Creek
State: Florida
ZIP Code: 33073-2825
Phone: (954) 570-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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