Individual
JAMES DAVID KOTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1561 LAKEFRONT DR UNIT 202, SARASOTA, FL 34240-1637
(941) 822-8955
(941) 822-8684
Mailing address
PO BOX 3725, AUGUSTA, GA 30914-3725
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME121445
FL
2086S0127X
Trauma Surgery Physician
ME121445
FL
Other
Enumeration date
04/06/2011
Last updated
01/06/2025
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