Individual
YELIZAVETA KOTLYAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6021 142ND AVE N, CLEARWATER, FL 33760-2822
(727) 431-4850
(727) 669-8417
Mailing address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
NONE
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111564710
—
FL
Enumeration date
04/17/2019
Last updated
02/20/2024
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