Individual
JOHN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 ELDRON BLVD SE STE 1, PALM BAY, FL 32909-6871
(321) 312-4580
(321) 914-4053
Mailing address
1840 ELDRON BLVD SE STE 1, PALM BAY, FL 32909-6871
(321) 312-4580
(321) 914-4053
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME133563
FL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
36072658
IL
Other
Enumeration date
12/29/2005
Last updated
03/17/2018
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