Individual
ZACHARY ALLEN HOTHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2780 CLEVELAND AVE STE 702, FORT MYERS, FL 33901-5857
(239) 343-3474
(239) 343-2968
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3474
(239) 343-2968
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101020063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103303000
—
FL
Enumeration date
06/21/2012
Last updated
03/23/2021
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