MURTUZA KOTHAWALA (NPI# 1477585123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477585123 |
| Entity Type | Individual |
| Full Name | MURTUZA KOTHAWALA |
| Credential | MD |
| Practice Address |
615 E Princeton St Suite # 225 Orlando FL 32803-1456 |
| Mailing Address |
1033 Dr Martin Luther King Jr St N Suite 108 St Petersburg FL 33701-1547 |
| Practice Telephone | 4078973544 |
| Practice Fax Number | 4078974016 |
| Mailing Telephone | 7274563288 |
| Mailing Fax Number | 7274563289 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME107501 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
27277 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002540900 | 05 | |
| AL | SE NEUROLOGY - BCBS | 051004023 | 01 |
| AL | 009937668 | 05 |
| Street Address |
615 E PRINCETON ST SUITE # 225 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627267 | Henry Pickett Dumas | Pediatrics | 615 E Princeton St, Ste 400, Orlando, FL 32803-1469 | 2005-05-23 |
| 1942722665 | Alyssa Brooks | Speech-Language Pathologist | 615 E Princeton St, Orlando, FL 32803-1456 | 2017-07-14 |
| 1558883256 | Susan Robins | Physical Therapist | 615 E Princeton St, Orlando, FL 32803-1456 | 2017-07-13 |
| 1376915140 | Monica V Urquiola | Nurse Practitioner | 615 E Princeton St, Suite 510, Orlando, FL 32803-1456 | 2015-10-20 |
| 1316341076 | Robin Denton | Physician Assistant | 615 E Princeton St, Suite 310, Orlando, FL 32803-1456 | 2014-10-09 |
| 1215280037 | Kristin Lea Hood Provencher | Nurse Practitioner | 615 E Princeton St, Suite 510, Orlando, FL 32803-1456 | 2012-10-17 |
| 1043562341 | Easter Johnson | Nurse Practitioner | 615 E Princeton St, Suite 225, Orlando, FL 32803-1456 | 2012-10-10 |
| 1902160070 | Moira Leah Al-malt | Registered Nurse | 615 E Princeton St, Suite 240, Orlando, FL 32803-1456 | 2012-07-03 |
| 1528374485 | Darren C Leach | Nurse Practitioner | 615 E Princeton St, Suite 101, Orlando, FL 32803-1435 | 2010-08-29 |
| 1376869529 | Joo Hee Seo | Psychiatry & Neurology | 615 E Princeton St, Suite 540, Orlando, FL 32803-1456 | 2010-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558378885 | Karen Marie Baker | Psychiatry & Neurology | 501 E King St, Sleep Disorders Center, Orlando, FL 32803-1205 | 2006-08-01 |
| 1447282819 | Michael Allen Pollack | Psychiatry & Neurology | 7000 Lake Ellenor Dr, Children's Medical Services, Orlando, FL 32809-5749 | 2006-07-07 |
| 1003888637 | Luis E Bello Espinosa | Psychiatry & Neurology | 100 W Gore St Ste 600, Orlando, FL 32806-1051 | 2006-02-07 |
| 1831473412 | Ammar Hussain | Psychiatry & Neurology | 615 E Princeton St Ste 540, Orlando, FL 32803-1424 | 2011-09-30 |
| 1376869529 | Joo Hee Seo | Psychiatry & Neurology | 615 E Princeton St, Suite 540, Orlando, FL 32803-1456 | 2010-04-13 |
| 1457527251 | Ngoc Minh Dang Le | Psychiatry & Neurology | 7485 Sandlake Commons Blvd, Orlando, FL 32819-8034 | 2008-05-01 |
| 1346430105 | Anthony Francis Giordano | Psychiatry & Neurology | 13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, FL 32827-7402 | 2007-07-27 |
| 1609089994 | Matthias Manfred Zinn | Psychiatry & Neurology | 13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, FL 32827-7402 | 2007-05-07 |
| 1528285749 | Comprehensive Neurology Clinic Pa | Psychiatry & Neurology | 10967 Lake Underhill Rd, Suite 148, Orlando, FL 32825-4457 | 2007-04-19 |
| 1326061862 | Ki Hyeong Lee | Psychiatry & Neurology | 615 E Princeton St, Suite 540, Orlando, FL 32803-1456 | 2006-07-25 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.