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Individual

DR. RAJESH KOTAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
517 EICHENFELD DR STE 106, BRANDON, FL 33511-5997
(800) 991-6117
(888) 812-8191
Mailing address
3820 NORTHDALE BLVD STE 201, STE 201,, TAMPA, FL 33624-1893
(800) 991-6117
(888) 812-8191

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
ME113098
FL
208600000X
Surgery Physician
Primary
ME113098
FL

Other

Enumeration date
01/26/2009
Last updated
06/30/2026
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