Individual
MURTUZA KOTHAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 E PRINCETON ST, SUITE # 225, ORLANDO, FL 32803-1456
(407) 897-3544
(407) 897-4016
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-3288
(727) 456-3289
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
27277
AL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME107501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002540900
—
FL
05
—
009937668
—
AL
01
—
051004023
SE NEUROLOGY - BCBS
AL
Enumeration date
07/06/2006
Last updated
10/13/2011
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