Individual
DAVID B KOONTZ
Active
Individual
DAVID B KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9244008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308193100
—
FL
01
—
G4161
BCBS
FL
01
—
P00391888
MEDICARE RAILROAD
FL
Enumeration date
12/08/2006
Last updated
06/17/2008
Update your record
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