Individual
JANAKI S KOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6410 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7622
(352) 563-2450
Mailing address
6410 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7622
(352) 563-2450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME81399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
592676843
TAX ID
FL
Enumeration date
04/06/2007
Last updated
06/21/2023
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