Individual
DR. KENZO JAMES PAUL KOIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256
(904) 564-2020
Mailing address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256-5835
(904) 274-1819
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME135382
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
ME135382
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
R2382
TX
Other
Enumeration date
06/16/2013
Last updated
10/05/2018
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