Individual
DAVID WOLTERS KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 N 9TH AVE STE 200, PENSACOLA, FL 32504-8721
(850) 416-4970
(850) 416-4969
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME46474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035039700
—
FL
Enumeration date
08/23/2005
Last updated
07/27/2021
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