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General NPI Number Information
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NPI Number | 1053321604
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Entity Type | Individual
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Provider Name | BRUCE KOHRMAN M.D
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 300
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4719
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Country | US
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Telephone | 305-665-6501
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Fax | 305-661-1672
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Provider Business Mailing Address
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Address Line | PO BOX 160010
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City | HIALEAH
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State | FL
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Zip | 33016-0001
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Country | US
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Telephone | 786-924-1311
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Fax | 786-924-1313
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | ME53396
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME53396
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License Number State | FL
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