Pain and Primary Care Center, PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN AND PRIMARY CARE CENTER, PA

Practice address

702 N Alexander St
Plant City, FL 33563-3064

Phone

(813) 764-9355

Fax

(813) 764-0695

NPI assigned

Feb 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlos A Botero, M.D.

Title

Owner, Physician

Phone

(813) 764-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1528105921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633064",
            "telephone_number": "813-764-9355",
            "fax_number": "813-764-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633064",
            "telephone_number": "813-764-9355",
            "fax_number": "813-764-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND PRIMARY CARE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "BOTERO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "813-764-9355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH3897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danita T Osbourne, ARNP
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• Kenya Renee' Pace, RMHCI
• Natalie Dawn Packer, LICENSED PRACTICAL N
• Heather Ann Palermo, PHARM.D.
• Palm Medical Center Lakeland LLC
• Kimberly Dianne Palsis, RPH
• Brenda K Paquin, ARNP
• Eduardo Jose Paredes

• Pain Medicine (Anesthesiology) Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.