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NPI Code Detail

MEDICARE: NEVITH M COTRICH

MEDICARE: NEVITH M COTRICH
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
1390200000XStudent in an Organized Health Care Education/Training ProgramC362633987040FL

General Provider Information

NPI Number : 1215884523
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEVITH M COTRICH
Provider Business Mailing Address
First Line : 15665 SW 91ST LN
Second Line :
City : MIAMI
State : FL
Zip : 33196-1163
Country : US
Telephone Number : 305-799-9792
Fax Number :
Provider Business Practice Location Address
First Line : 950 NW 20TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33127-4622
Country : US
Telephone Number : 305-799-9792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ NEVITH M COTRICH ” Practice Location

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