Individual
THOMAS KOTHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2161 KINGSLEY AVE, STE 200, ORANGE PARK, FL 32073-5113
(904) 727-3139
(904) 276-7434
Mailing address
9143 PHILIPS HWY, STE 560, JACKSONVILLE, FL 32256-1348
(904) 363-2113
(904) 363-7453
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 2559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291828500
—
FL
01
—
Y03PU
BCBSFL
FL
Enumeration date
10/06/2005
Last updated
05/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us