Kotzker, Wayne Robert

Kotzker, Wayne Robert is an individual health care provider with primary practice located at 407 Se 9Th St Suite 103, Fort Lauderdale FL 33316-1113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kotzker, Wayne Robert can be contacted via phone (954) 463-0112.

Contact Information

Primary practice address
407 Se 9Th St Suite 103 Fort Lauderdale FL 33316-1113
Phone: (954) 463-0112
Fax: (954) 463-0117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME88119 Florida

Profile Details

NPI number 1124120019
LBN Legal business name Kotzker, Wayne Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Aug 15th, 2013 - about 11 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 1124120019 NPPES
Florida MEDICAID 267478500

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