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Individual

DR. ROBERT F. KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801
Mailing address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS9904
FL
208M00000X
Hospitalist Physician
Primary
OS9904
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AL953Z
FL
Enumeration date
04/16/2007
Last updated
10/03/2022
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