Individual
MARC KAWOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(321) 843-2172
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6878
(321) 843-2172
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014035900
—
FL
01
—
PA9108142
MEDICAL LICENSE
FL
Enumeration date
10/15/2014
Last updated
11/15/2016
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