Kotlarz Ent And Facial Plastic Surgery in Pensacola - Plastic Surgery Within The Head & Neck
Kotlarz Ent And Facial Plastic Surgery - NPI 1174713531
Kotlarz Ent And Facial Plastic Surgery is a Plastic Surgery Within The Head & Neck in Pensacola, Florida. Kotlarz Ent And Facial Plastic Surgery practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Kotlarz Ent And Facial Plastic Surgery is 1174713531. The last update date is 2021-05-18.
Kotlarz Ent And Facial Plastic Surgery's current location address is 6100 N Davis Hwy, Pensacola, Florida. You can contact this provider via phone number 8504712377 and fax number 8504719975. The mailing address for Kotlarz Ent And Facial Plastic Surgery is 6100 N Davis Hwy, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kotlarz Ent And Facial Plastic Surgery |
|---|---|
| Address | 6100 N Davis Hwy, Pensacola, Florida |
| Phone Number | 8504712377 |
| Fax Number | 8504719975 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Kotlarz P Jack |
| Credentials | MD |
| Telephone Number | 8504712377 |
NPI Number Detail
| NPI Number | 1174713531 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2021-05-18 |
Provider Mailing Address Detail
| Address | 6100 N Davis Hwy |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325046950 |
| Phone Number | 8504712377 |
| Fax Number | 8504719975 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K3071 | FL | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Kotlarz Ent And Facial Plastic Surgery by the Centers for Medicare & Medicaid Services (CMS)?
The Kotlarz Ent And Facial Plastic Surgery has been assigned the NPI (National Provider Identifier) 1174713531. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kotlarz Ent And Facial Plastic Surgery's facilities are geographically located?
The facilities of Kotlarz Ent And Facial Plastic Surgery are physically situated at the following location: 6100 N Davis Hwy, Pensacola, FL, 325046950.
What is the Kotlarz Ent And Facial Plastic Surgery's area of specialization and corresponding taxonomy classification?
The Kotlarz Ent And Facial Plastic Surgery's specialty field is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their specialties.
On what date did the Kotlarz Ent And Facial Plastic Surgery receive the assignment of its 1174713531 from the Centers for Medicare & Medicaid Services?
The Kotlarz Ent And Facial Plastic Surgery was issued its 1174713531 by the Centers for Medicare & Medicaid Services on 2007-07-31.
As of what date was the information regarding Kotlarz Ent And Facial Plastic Surgery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kotlarz Ent And Facial Plastic Surgery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-18.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC