Healthcare Provider Details

I. General information

NPI: 1306893151
Provider Name (Legal Business Name): WILLIAM C COTTRELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 MORTON PLANT ST SUITE 301
CLEARWATER FL
33756-3395
US

IV. Provider business mailing address

430 MORTON PLANT ST STE 301
CLEARWATER FL
33756-3395
US

V. Phone/Fax

Practice location:
  • Phone: 727-461-6026
  • Fax: 727-461-7446
Mailing address:
  • Phone: 727-461-6026
  • Fax: 727-461-7446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME79229
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: