person
Jack Peter Kotlarz, MD
Specialist in Pensacola, Florida
NPI 1922090646

Jack Peter Kotlarz is a Specialist based in Pensacola, FL. Jack Peter Kotlarz practices in Pensacola, FL and has the professional credentials of MD. The NPI Number for Jack Peter Kotlarz is 1922090646 and holds a License No. ME62757 (Florida).

The current practice location address for Jack Peter Kotlarz is 6100 North Davis Hwy, Pensacola, FL and can be reached out via phone at 850-471-2377 and via fax at 850-471-9975. You can also correspond with Jack Peter Kotlarz through the mailing address at 6100 NORTH DAVIS HWY, PENSACOLA, FL - 32504-6950 (mailing address contact number: 850-471-2377).

Location: 6100 North Davis Hwy, Pensacola, FL, 32504-6950
person
Provider Profile Details
NPI Number
1922090646
Provider Name
Jack Peter Kotlarz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6100 North Davis Hwy, Pensacola, FL, 32504-6950
Phone Number
850-471-2377
Fax Number
850-471-9975
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
590 51780 01 AL BCBS OF ALA
4314144 01 FL AETNA
7618346003 01 FL CIGNA PPO
009900475 01 AL MEDICAID ALA
42544 01 FL BCBS OF FLORIDA
040016528 01 FL UHC MCR RR
253548300 05 FL
institution
Provider Business Practice Location Address Details
Address
6100 North Davis Hwy
City
State
Zip
32504-6950
Phone Number
850-471-2377
Fax Number
850-471-9975
person
Provider Business Mailing Address Details
Address
6100 North Davis Hwy
City
State
Zip
32504-6950
Phone Number
850-471-2377
Fax Number
850-471-9975
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME62757 (Florida)
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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