Jack Kotlarz
Verification result: Current license matched
Florida Medical License: Clear
facial plastic surgeon
- Credential: MD (credential from the national provider registry)
- License #62757
- Expires January 31, 2028
- NPI: 1922090646
- Primary taxonomy: Otolaryngology, Plastic Surgery within the Head & Neck
- Verified September 28, 2026
View verification evidence
Clinic-reported
- Clinic-stated role
- facial plastic surgeon
- Credential
- MD (credential from the national provider registry)
- Named as medical director
- Not stated
- Named as an injector
- Not stated on the pages reviewed
- Clinic source
- stillwatersmedspa.com/about
- Date checked
- September 30, 2026
Dr. Jack Kotlarz,
Federal provider record
- NPI
- 1922090646
- Primary taxonomy
- Otolaryngology, Plastic Surgery within the Head & Neck
- Source
- NPPES NPI Registry
- Date checked
- September 28, 2026
State professional license
- Credential
- None stated by the clinic
- State license
- Medical Doctor, Florida Department of Health, Division of Medical Quality Assurance
- License number
- 62757
- Status
- Clear
- Expires
- 01/31/2028
- Checked
- September 28, 2026
Board action recorded: None found in the file we read.
Medical Doctor license 62757; JACK P KOTLARZ; status: Clear; expires 01/31/2028; board action: N; practice city PENSACOLA
State data published August 25, 2026.
Verification finding
- Result
- Current license matched (Clear)
Still Waters Day & Medical Spa names Dr. Jack Kotlarz with the stated role facial plastic surgeon. Verified Injector matched this clinician to license 62757 at the Florida Department of Health, Division of Medical Quality Assurance, which that board recorded as Clear when checked September 28, 2026.