Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | OPC2505 | FL |
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OP 2505 | FL |
NPI | 1366409112 |
---|---|
Provider Name | Dr. William J Cottone |
First Address | North Port, FL 34286-7683 |
Second Address | Venice, FL 34293-5111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 19/12/2017 |