Cottrell, Charles Raymond

Cottrell, Charles Raymond is an individual health care provider with primary practice located at 2400 Miccosukee Rd , Tallahassee FL 32308-5314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cottrell, Charles Raymond can be contacted via phone (850) 205-8404.

Contact Information

Primary practice address
2400 Miccosukee Rd Tallahassee FL 32308-5314
Phone: (850) 205-8404
Fax: (850) 216-1321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME34034 Florida

Profile Details

NPI number 1811911829
LBN Legal business name Cottrell, Charles Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811911829 NPPES
Florida Other 47488 BCBS PROVIDER NUMBER

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