Organization
JOHN COTTAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA FRAME (BILLING MANAGER)
(423) 525-5993
Entity
Organization
Contact information
Practice address
500 VONDERBURG DR STE 212W, BRANDON, FL 33511-5977
(813) 962-4210
(813) 962-0566
Mailing address
14310 N DALE MABRY HWY STE 180, TAMPA, FL 33618-2059
(813) 962-4210
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004408305
—
FL
Enumeration date
08/18/2021
Last updated
07/13/2022
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