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Individual

AMY JOAN KOLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
603-7TH ST SO, #500, ST PETERSBURG, FL 33701-4734
(727) 822-0442
(727) 821-0416
Mailing address
603-7TH ST SO, #500, ST PETERSBURG, FL 33701-4734
(727) 822-0442
(727) 821-0416

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12397
NV
208600000X
Surgery Physician
ME104839
FL
2086S0102X
Surgical Critical Care Physician
ME104839
FL
2086S0127X
Trauma Surgery Physician
Primary
ME104839
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12397
MEDICAL LICENSE
NV
01
CS15369
PHARMACY LICENSE
NV
Enumeration date
07/27/2006
Last updated
03/07/2023
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