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KOTILA CHIROPRACTIC INC NPI 1679874606


NPI Information

NPI: 1679874606
Provider Name: KOTILA CHIROPRACTIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 10D2229255

Address:
330 PAULS DR
SUITE 102
BRANDON, FL
ZIP 33511
Phone: (813) 643-1242
Get Directions

KOTILA CHIROPRACTIC INC is a chiropractor in Brandon, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KOTILA CHIROPRACTIC INC NPI is 1679874606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

330 PAULS DR
SUITE 102
BRANDON, FL
ZIP 33511-801
Phone: (813) 643-1242

The provider's authorized official is Gary J Kotila .
The authorized official title is President and has the following contact phone number (813) 643-1242.

The CLIA number assigned to this NPI record is 10D2229255 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 11/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH 9719FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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