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Individual

JOHN A COTTAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14310 N DALE MABRY HWY STE 180, TAMPA, FL 33618-2059
(813) 962-4210
(813) 962-0566
Mailing address
14310 N DALE MABRY HWY STE 180, TAMPA, FL 33618-2059
(813) 962-4210
(813) 962-0566

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0072051
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000831900
FL
Enumeration date
09/15/2006
Last updated
05/27/2020
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