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General NPI Number Information
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NPI Number | 1811344005
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Entity Type | Individual
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Provider Name | JO ANNA KOHLER PA
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Gender | Female
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 4205 BELFORT RD STE 4030
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1475
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Country | US
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Telephone | 904-450-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 HARLEM RD STE 240
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-4031
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Country | US
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Telephone | 716-893-0333
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9120465
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License Number State | FL
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