Search › Florida › 231H00000X
Dominique Botta, AU.D
NPI 1518434547 · on the registry since 2018
Practice
- Address
- 1370 13th Ave S Ste 115
Jacksonville, FL 32250 - Phone
- (904) 202-6390
- Fax
- (904) 390-7388
- Organisation at this address
- Beaches Urology Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida