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Organization

ANTOINETTE N. KOE M.D, P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOINETTE KOE M.D (M.D)
(904) 269-9777
Entity
Organization

Contact information

Practice address
1543 KINGSLEY AVE STE 12, ORANGE PARK, FL 32073-4544
(904) 269-9777
(904) 264-9774
Mailing address
1543 KINGSLEY AVE STE 12, ORANGE PARK, FL 32073-4544
(904) 269-9777
(904) 264-9774

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME39854
FL

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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