Dr. Raoul Rudolph Botha, MD
Internal Medicine in Largo, FL. Individual provider (NPI-1).
NPI number1003518754
StatusActive
Last updated in NPPESJul 1, 2026
Details
- NPI
- 1003518754
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raoul Rudolph Botha
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2023
- Certification date
- Jul 1, 2026
- Last updated
- Jul 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4271195 | ID | Yes |
| 208M00000X | Hospitalist | 4271195 | ID |
Practice location
201 14th St SwLargo, FL 33770-3133
Phone 727-588-5704
Mailing address
201 14th St SwLargo, FL 33770-3133
Phone 727-588-5704
Other practice locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Coeur D Alene, ID 83814-6051
Phone 208-625-6900 · Fax 208-625-6910
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