Individual
DR. JOHN JOSEPH KOTULA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 898-7451
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT204391
PA
208000000X
Pediatrics Physician
TRN24124
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME135289
FL
Other
Enumeration date
05/19/2013
Last updated
08/13/2021
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