Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEFAN BOTHA
ActiveSTEFAN BOTHA is a Physician Assistant healthcare provider located in TAMPA, Florida. NPI 1811583446 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TAMPA, FL
Registration Details
- NPI Number
- 1811583446
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2020 (5.4748867864084 yrs)
- Last Updated
- Jan 15, 2025
- Licenses
-
PA14092 (TX)PA9119631 (FL)
Practice Information
- Address
-
3301 W GANDY BLVDTAMPA, FL, 336112931Browse FL providers · Browse ZIP 33611
- Phone
- 8139251903
- Fax
- 8137498370
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in TAMPA, FL
| Name | Credential | NPI |
|---|---|---|
| MISS TARA LYNN TINGLER | PAC | 1982609715 |
| MS. LISA ALBERO | PA | 1013913599 |
| CHRISTOPHER JOHN CARLISLE | PA-C | 1477559375 |
| ANN TRAN | PA | 1407855430 |
| MRS. CHRISTA R. HODGES | PA-C | 1942295100 |
| MRS. SARAH N LOGAN | PA | 1942296967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.