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NPI Code Detail

MEDICARE: DR KOHLER AND ASSOCIATES INC

MEDICARE: DR KOHLER AND ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPC4598FL

General Provider Information

NPI Number : 1851758890
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR KOHLER AND ASSOCIATES INC
Provider Business Mailing Address
First Line : 2578 ENTERPRISE RD
Second Line : UNIT 167
City : ORANGE CITY
State : FL
Zip : 32763-7904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2578 ENTERPRISE RD
Second Line : UNIT 167
City : ORANGE CITY
State : FL
Zip : 32763-7904
Country : US
Telephone Number : 386-216-4738
Fax Number : 386-218-4085
Authorized Official
Title or Position : OWNER
Name : TONYA M KOHLER
Credential : O.D.
Telephone Number : 386-216-4738
Provider Enumeration Date : 01/21/2016
Last Update Date : 01/21/2016

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Directions to “DR KOHLER AND ASSOCIATES INC ” Practice Location

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