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

Tiffani Botts, PA-C

Individual provider Medical Physician Assistant · NPI 1316327877

Tiffani Botts, PA-C is a Medical Physician Assistant in St Petersburg, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2015.

Licensed in
FL, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5355 Dr Martin Luther King Jr St N
St Petersburg, FL 33703-2800
Phone: (727) 344-9006
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 9108711 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 085.005564 (IL)

Record details

NPI number1316327877
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 31, 2015
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

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