MEDICARE: KALIE A LONG COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA18425	FL

General Provider Information

NPI Number	:	1770245623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALIE A LONG COTA/L

Provider Business Mailing Address
First Line	:	1002 E 15TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-3321
Country	:	US
Telephone Number	:	314-537-7526
Fax Number	:

Provider Business Practice Location Address
First Line	:	1002 E 15TH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-3321
Country	:	US
Telephone Number	:	314-537-7526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2021
Last Update Date	:	10/07/2021

Similar Medicare Providers

1801685888 — TOAFS LLC
Practice Location Address:

801 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33603-3321

Practice Phone: 813-238-0411
Practice Fax:

1346242435 — RICHARD DILLON MD
Practice Location Address:

3321 W BEARSS AVE
TAMPA, FL
33618-2100

Practice Phone: 813-972-9300
Practice Fax: 813-972-9527

1962790832 — DR. RISHI SETH M.D.
Practice Location Address:

3321 W BEARSS AVE
TAMPA, FL
33618-2100

Practice Phone: 954-873-5541
Practice Fax:

1093190399 — ADVANCE CARE CORP
Practice Location Address:

3321 W CYPRESS ST
TAMPA, FL
33607-5005

Practice Phone: 813-599-1994
Practice Fax:

1225521834 — DR. DAILI POMAR DMD
Practice Location Address:

801 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33603-3321

Practice Phone: 813-238-0411
Practice Fax: 813-238-5341

1740954692 — JESSICA BANDHU AGPCNP-BC
Practice Location Address:

3321 GLEN MEADOW CT
TAMPA, FL
33614-2796

Practice Phone: 217-851-3483
Practice Fax:

Directions to “ KALIE A LONG COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.