Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stefan Botha

Individual provider Physician Assistant · NPI 1811583446

Stefan Botha is a Physician Assistant in Tampa, Florida. Qualified in 2020, 6 years ago. Practices with Synergic Healthcare Solutions LLC, a 96-clinician group and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
6
Licensed in
FL, TX
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone: (813) 925-1903
Fax: (813) 749-8370
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119631 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA14092 (TX)

Record details

NPI number1811583446
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address4909 Tucumcari Trl, Sarasota, FL 34241-9118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Synergic Healthcare Solutions Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Tampa