Organization
HENRY EARL COTMAN, M. D., P. A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY EARL COTMAN M. D. (PRESIDENT/OWNER)
(727) 492-7335
Entity
Organization
Contact information
Practice address
6449 38TH AVE N, SUITE C-3, ST PETERSBURG, FL 33710-1655
(727) 492-7335
Mailing address
PO BOX 383, ST PETERSBURG, FL 33731-0383
(727) 492-7335
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0019800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655988
—
FL
Enumeration date
01/17/2012
Last updated
01/17/2012
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