# NICHOLAS KOEHLER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639538754
- **Authorized official:** NICHOLAS KOEHLER MD (PRESIDENT)
- **Authorized official phone:** (813) 393-6247

## Contact information

- **Practice address:** 5802 N 30TH ST, TAMPA, FL 33610-1469
- **Practice address phone:** (813) 328-8714
- **Practice address fax:** (813) 873-0306
- **Mailing address:** 215 N HOWARD AVE STE 101, TAMPA, FL 33606-1574
- **Mailing address phone:** (813) 328-8714
- **Mailing address fax:** (813) 873-0306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | ME104572 | FL | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | ME104572 | FL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME104572 | FL | Yes |
| 208VP0000X | Pain Medicine Physician | ME104572 | FL | — |
| 208VP0014X | Interventional Pain Medicine Physician | ME104572 | FL | — |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 02/22/2021