Jack Peter Kotlarz in Pensacola - Specialist
Jack Peter Kotlarz - NPI 1922090646
Jack Peter Kotlarz is a Specialist in Pensacola, Florida. Jack Peter Kotlarz practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jack Peter Kotlarz is 1922090646. The last update date is 2011-10-22.
Jack Peter Kotlarz's current location address is 6100 North Davis Hwy, Pensacola, Florida. You can contact this provider via phone number 8504712377 and fax number 8504719975. The mailing address for Jack Peter Kotlarz is 6100 North Davis Hwy, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Peter Kotlarz |
|---|---|
| Address | 6100 North Davis Hwy, Pensacola, Florida |
| Phone Number | 8504712377 |
| Fax Number | 8504719975 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922090646 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2011-10-22 |
Provider Mailing Address Detail
| Address | 6100 North Davis Hwy |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325046950 |
| Phone Number | 8504712377 |
| Fax Number | 8504719975 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME62757 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 590 51780 | AL | BCBS OF ALA | |
| 4314144 | FL | AETNA | |
| 7618346003 | FL | CIGNA PPO | |
| 9900475 | AL | MEDICAID ALA | |
| 42544 | FL | BCBS OF FLORIDA | |
| 40016528 | FL | UHC MCR RR | |
| 253548300 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Peter Kotlarz by the Centers for Medicare & Medicaid Services?
The Jack Peter Kotlarz has been assigned the NPI (National Provider Identifier) 1922090646. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack Peter Kotlarz located?
The Jack Peter Kotlarz is located at 6100 North Davis Hwy, Pensacola, FL 325046950.
What is Jack Peter Kotlarz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Peter Kotlarz's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922090646 to Jack Peter Kotlarz?
The Centers for Medicare & Medicaid Services assigned the 1922090646 to Jack Peter Kotlarz on 2005-08-18.
As of what date was the information regarding Jack Peter Kotlarz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Peter Kotlarz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-22.