Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN ABRAHAM KOTTLER, PA-C
Active Sole ProprietorJORDAN ABRAHAM KOTTLER, PA-C is a Physician Assistant healthcare provider located in FORT WALTON BEACH, Florida. NPI 1699259333 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1699259333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2018 (7.8971189571683 yrs)
- Last Updated
- Sep 19, 2018
- License
-
PA9111482 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 MAR WALT DRIVEWWMC INTENSIVITS PROGRAMFORT WALTON BEACH, FL, 325476707Browse FL providers · Browse ZIP 32547
- Phone
- 8502430118
- Fax
- 8502430594
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT WALTON BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. SCOT T WILLIAMS | PA | 1942205190 |
| MICHAEL ANDREW JOHNSON | PA-C | 1174517627 |
| HAROLD TIMOTHY JOHNSON | PA-C | 1336124098 |
| GERARDO CRUZ | PA-C | 1275518086 |
| MAX REID DAWKINS | PA-C | 1629053442 |
| ALICIA R. MORNEAULT | PA-C | 1962471987 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.