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Individual

BIPAN KOTWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701
(727) 456-4250
(727) 346-1044
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME61574
FL
208M00000X
Hospitalist Physician
ME61574
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370898500
FL
Enumeration date
06/16/2006
Last updated
01/22/2026
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