Individual
DR. NICHOLAS A KOTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 7TH ST S STE 205, ST PETERSBURG, FL 33701-4748
(727) 893-6234
(727) 553-7798
Mailing address
601 7TH ST S STE 205, ST PETERSBURG, FL 33701-4748
(727) 893-6234
(727) 553-7798
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS11946
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
OS11946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103363400
—
FL
01
—
DL7BB
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/23/2011
Last updated
01/17/2024
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