Healthcare Provider Details

I. General information

NPI: 1114011707
Provider Name (Legal Business Name): KARIN SWISHER HOTCHKISS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 N ARMENIA AVE
TAMPA FL
33603-1405
US

IV. Provider business mailing address

1033 DR MARTIN LUTHER KING JR ST N STE. 108
ST PETERSBURG FL
33701-1547
US

V. Phone/Fax

Practice location:
  • Phone: 813-879-8045
  • Fax:
Mailing address:
  • Phone: 727-456-4250
  • Fax: 727-346-1044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberME83108
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberME83103
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: