Provider Demographics
NPI:1033307285
Name:HARRY COTLER INC.
Entity Type:Organization
Organization Name:HARRY COTLER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:239-444-0700
Mailing Address - Street 1:PO BOX 799
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33929-0799
Mailing Address - Country:US
Mailing Address - Phone:907-398-2700
Mailing Address - Fax:
Practice Address - Street 1:23421 WALDEN CENTER DR.
Practice Address - Street 2:STE. 100
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-4911
Practice Address - Country:US
Practice Address - Phone:239-444-0700
Practice Address - Fax:239-444-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3942213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO3942OtherLICENSE
AK4673860001Medicare NSC
T55637Medicare UPIN
AKK152281Medicare PIN