Individual
DR. FRED KODESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 GARDEN ST, TITUSVILLE, FL 32796-2937
(321) 267-2001
(321) 267-0628
Mailing address
4300 GARDEN ST, TITUSVILLE, FL 32796-2937
(321) 267-2001
(321) 267-0628
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0049056
FL
Other
Enumeration date
02/17/2006
Last updated
11/05/2007
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