Provider Demographics
NPI:1295951713
Name:JEFFREY H. KOTZEN, MD PA
Entity type:Organization
Organization Name:JEFFREY H. KOTZEN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT BILLING COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-748-2889
Mailing Address - Street 1:200 BUTLER ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-6036
Mailing Address - Country:US
Mailing Address - Phone:561-837-9880
Mailing Address - Fax:561-837-9884
Practice Address - Street 1:200 BUTLER ST
Practice Address - Street 2:SUITE 303
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6036
Practice Address - Country:US
Practice Address - Phone:561-837-9880
Practice Address - Fax:561-837-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39811207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAK9450103OtherDEA #
FLAK9450103OtherDEA #