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Contact Information

TRACEY BOTHA, MD
724 NW 43RD STREET
GAINESVILLE, FL32607
 Phone: 352-332-7222
 Fax: 352-332-7330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TRACEY BOTHA · (Female)

NPI Number 1063486066
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME90653
  • FL Medicaid 272547900
Hospital affiliation(s)
  • NORTH FLORIDA REGIONAL MEDICAL CENTER - (Acute Care)
    6500 NEWBERRY RD
    GAINESVILLE, FL 32605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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