Provider Information for 1366792772
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. JAMIE L COTHERN
Sex: Female
NPI: 1366792772
Last Updated: 2012-09-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366792772 | ||||||||
| Enumeration Date | 2012-09-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1350 ORANGE AVE SUITE 200 WINTER PARK, FL 32789-4945 United States Phone: 407-644-4367 | Fax:407-622-1200 | ||||||||
| Primary Practice Address | 1350 ORANGE AVE SUITE 200 WINTER PARK, FL 32789-4945 United States Phone: 407-644-4367 | Fax:407-622-1200 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|