Individual
DR. MITCHELL KOLKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 JUPITER LAKES BLVD STE 103, JUPITER, FL 33458-7187
(561) 848-5579
Mailing address
8980 BIDDLE CT, WELLINGTON, FL 33414-6436
(914) 837-5088
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
231752
NY
207Y00000X
Otolaryngology Physician
Primary
ME164698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122858700
—
FL
01
—
TH479
MEDICARE HF
FL
Enumeration date
06/06/2006
Last updated
12/03/2024
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