Individual
DR. SARAH ELIZABETH KOEHNEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
338 S WASHINGTON AVE, TITUSVILLE, FL 32796-3548
(321) 269-2021
Mailing address
338 S WASHINGTON AVE, TITUSVILLE, FL 32796-3548
(321) 269-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4676
FL
152W00000X
Optometrist
TUV007767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008836600
—
FL
Enumeration date
08/22/2011
Last updated
10/04/2017
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