Organization
KOTILA SPINE & JOINT CENTER OF BRANDON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J KOTILA DC (OWNER)
(813) 643-1242
Entity
Organization
Contact information
Practice address
1451 OAKFIELD DR, BRANDON, FL 33511-4854
(813) 643-1242
(813) 643-1246
Mailing address
1451 OAKFIELD DR, BRANDON, FL 33511-4854
(813) 643-1242
(813) 643-1246
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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