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Contact Information

NICHOLAS BOTTARO, D.O., M.H.S.A.
15123 OGDEN LOOP
ODESSA, FL33556
 Phone: 813-330-0574
 Fax: 727-436-3049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for NICHOLAS BOTTARO · (Male)

NPI Number 1396193611
Status Active
Credentials D.O., M.H.S.A.
Entity Individual
Enumeration date 05/26/2016
Last updated 01/30/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS14898
Hospital affiliation(s) Not Available
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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