Individual
DR. MOIN H KOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2415 N ORANGE AVE STE 200, ORLANDO, FL 32804-5505
(407) 303-1812
(407) 303-1815
Mailing address
100 N DEAN RD, STE 101, ORLANDO, FL 32825-3710
(407) 384-7388
(407) 384-7391
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME101271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001997900
—
FL
Enumeration date
06/11/2007
Last updated
11/07/2019
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