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Contact Information

JOHN COTTAM MD PA
741 COUNTY RD 466
LADY LAKE, FL32159
 Phone: 352-259-1042
 Fax: 813-962-0566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JOHN COTTAM MD PA

NPI Number 1013685031
LBN Legal business name JOHN COTTAM MD PA
Authorized official SHAWNA FRAME - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2021
Last updated 07/13/2022 - About 4 years ago
Identifiers
FL Medicaid 004408302
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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