1922090646 Jack Peter Kotlarz, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Active
Basic Information
- Full Name
- Jack Peter Kotlarz, MD
- Gender
- Male
- Enumeration Date
- August 18, 2005
- Last Update
- December 10, 2024
Practice Location
- Address
- 1253 N ALPINE RD
ROCKFORD, IL 611072201 - Phone
- (779) 696-9201
- Fax
- (815) 397-9667
Mailing Address
- Address
- 6100 NORTH DAVIS HWY
PENSACOLA, FL 325046950 - Phone
- (850) 471-2377
- Fax
- (850) 471-9975
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Specialist | 174400000X | Specialist | ME62757 | FL | No |
| Otolaryngology Physician | 207Y00000X | Otolaryngology | ME62757 | FL | No |
| Otolaryngology Physician | 207Y00000X | Otolaryngology | 2024013411 | MO | No |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician Plastic Surgery within the Head & Neck | 207YX0007X | Otolaryngology | 036170362 | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4314144 | 01 | FL | AETNA |
| 7618346003 | 01 | FL | CIGNA PPO |
| 009900475 | 01 | AL | MEDICAID ALA |
| 040016528 | 01 | FL | UHC MCR RR |
| 590 51780 | 01 | AL | BCBS OF ALA |
| 253548300 | 05 | FL | N/A |
| 42544 | 01 | FL | BCBS OF FLORIDA |
Additional Practice Locations
3100 E Fletcher Ave
Tampa, FL 336134613
Tampa, FL 336134613
Phone: (813) 971-6000
Fax: (813) 615-7542
6100 NORTH DAVIS HWY
Pensacola, FL 325046950
Pensacola, FL 325046950
Phone: (850) 471-2377
Fax: (850) 471-9975
Frequently Asked Questions
What is Jack Peter Kotlarz, MD's NPI number?
Jack Peter Kotlarz, MD's NPI number is 1922090646.
Which doctor has NPI number 1922090646?
The doctor with NPI number 1922090646 is Jack Peter Kotlarz, MD.
What is Jack Peter Kotlarz, MD's practice address?
Jack Peter Kotlarz, MD's practice address is 1253 N ALPINE RD, ROCKFORD, IL, 611072201.
Which doctor practices at 1253 N ALPINE RD, ROCKFORD, IL, 611072201?
Jack Peter Kotlarz, MD practices at 1253 N ALPINE RD, ROCKFORD, IL, 611072201.
What is Jack Peter Kotlarz, MD's mailing address?
Jack Peter Kotlarz, MD's mailing address is 6100 NORTH DAVIS HWY, PENSACOLA, FL, 325046950.
What is Jack Peter Kotlarz, MD's phone number?
Jack Peter Kotlarz, MD's phone number is (779) 696-9201.
Who is (779) 696-9201?
(779) 696-9201 is the phone number for Jack Peter Kotlarz, MD.
What is Jack Peter Kotlarz, MD's specialty?
Jack Peter Kotlarz, MD's specialty is Plastic Surgery within the Head & Neck (Otolaryngology) Physician.
What type of doctor is Jack Peter Kotlarz, MD?
Jack Peter Kotlarz, MD is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician.
Is Jack Peter Kotlarz, MD a Plastic Surgery within the Head & Neck?
Yes, Jack Peter Kotlarz, MD is a Plastic Surgery within the Head & Neck.
Is Jack Peter Kotlarz, MD still practicing?
Yes, Jack Peter Kotlarz, MD is currently practicing.
Is Jack Peter Kotlarz, MD accepting new patients?
Jack Peter Kotlarz, MD may be accepting new patients. Please call their office at (779) 696-9201 to inquire about availability.
Is NPI 1922090646 still active?
Yes, NPI 1922090646 is currently active.
Where does Jack Peter Kotlarz, MD practice?
Jack Peter Kotlarz, MD practices in ROCKFORD, IL.
Is Jack Peter Kotlarz, MD a male or female doctor?
Jack Peter Kotlarz, MD is a male doctor.