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Active NPI 1285920363 Organization (Entity Type 2)

Cotelo Llc

Internal Medicine • Pinecrest, FL

About Cotelo Llc NPI 1285920363 Summary

Cotelo Llc is a verified healthcare organization specializing in Internal Medicine operating in Pinecrest, FL. Located at 11767 S DIXIE HWY, 423, this facility provides patient care and medical services under National Provider Identifier (NPI) 1285920363.

Administrative operations and authorized compliance are overseen by Damian Diaz Cotelo (Manager).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

11767 S Dixie Hwy
423

Pinecrest, FL 331564438

Telephone 7864744345
Fax 8552683561

Authorized Official Information

Authorized Contact Name

Damian Diaz Cotelo , MD

Title / Role

Manager

Official Telephone

7864744345

Facility Classifications & Specialties

Internal Medicine Primary Taxonomy

NUCC Taxonomy Code: 207R00000X

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Internal Medicine

Pinecrest, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 26, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 26, 2012

Registered at 11767 S DIXIE HWY, 423, PINECREST, FL 331564438 (Tel: 7864744345)

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Updated Business Mailing Address September 26, 2012

Registered at 11767 S DIXIE HWY, 423, PINECREST, FL 331564438 (Tel: 7864744345)

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Organization / Clinic Name Updated September 26, 2012

Operating as COTELO LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2012

Internal Medicine (License #ME105957 in FL)

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Initial NPI Registration & Enumeration June 27, 2011

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1285920363
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 27, 2011
Last Update: September 26, 2012

Mailing Address

11767 S Dixie Hwy, 423

Pinecrest, FL 331564438

Phone: 7864744345

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.