Individual
AJOY KOTWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3102 W CYPRESS ST, SUITE B, TAMPA, FL 33607
(813) 874-1404
(813) 874-9305
Mailing address
3102 W CYPRESS ST, SUITE B, TAMPA, FL 33607
(813) 874-1404
(813) 874-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0065983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231261
WELLCARE
FL
01
—
25921
BCBS
FL
01
—
270102
AVMED
FL
01
—
ME0065983
STATE LIC
FL
Enumeration date
07/24/2006
Last updated
07/08/2007
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