License Verification

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JOHN A. COTTAM

License Number: ME72051

Data As Of 5/10/2025

Profession
Medical Doctor
License
ME72051
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
12/19/1996
Address of Record
14310 N DALE MABRY
SUITE 180
TAMPA, FL 33618
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Yes
Discipline on File
No
Public Complaint
No
Address
12889 Us Hwy 98 W Suite 107-B
MIRAMAR BEACH, FL 32550
Address
5105 MANATEE AVE W #12
BRADENTON, FL 34209
Address
222 MAIN STREET WEST
BARTOW, FL 33830
Address
4051 UPPER CREEK DRIVE SUITE #101
SUN CITY CENTER, FL 33578
Address
741 COUNTY ROAD 466
LADY LAKE, FL 32159
Address
500 VONDERBURG RD SUITE 212W
BRANDON, FL 33511
Address
1032 Mar-Walt Dr. Suite 100
FORT WALTON BEACH, FL 32547
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
KOSIOREK, DAVID JEROME Prescribing Physician Assistant Physician Assistant 9101567 3/1/2025

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/10/2025



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** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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