Healthcare Provider Details

I. General information

NPI: 1114137312
Provider Name (Legal Business Name): DONNA MEO COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 7TH ST N
NAPLES FL
34102-5754
US

IV. Provider business mailing address

628 8TH ST N #20
NAPLES FL
34102-5578
US

V. Phone/Fax

Practice location:
  • Phone: 239-436-0500
  • Fax:
Mailing address:
  • Phone: 239-436-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number9238
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: