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KATHERINE A BOBOTIS P.A.

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144439431

Individual Registrant:
 KATHERINE A BOBOTIS P.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4850 W OAKLAND PARK BLVD SUITE 257 LAUDERDALE LAKES, FL 33313-7260 US
Tel: 615-778-4066  Fax: --

Contact information for business:
5080 SPECTRUM DR SUITE 1200 WEST ADDISON, TX 75001-4648 US
Tel: 972-364-8000  Fax: 214-775-4502

Registration Information:
NPI: 1144439431
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FL9102214

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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