Individual
DR. HENRY EARL COTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6449 38TH AVE N, SUITE C-3, ST PETERSBURG, FL 33710-1655
(727) 492-7335
(727) 344-5005
Mailing address
PO BOX 383, ST PETERSBURG, FL 33731-0383
(727) 492-7335
(727) 344-5005
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME19800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065598800
—
FL
01
—
19381
WELLCARE
FL
01
—
19381
HEALTHEASE MEDICAID
—
01
—
4129335
AETNA
—
01
—
62313
HEALTH OPTIONS
FL
01
—
62313
BC
—
Enumeration date
09/08/2006
Last updated
01/18/2012
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