Individual
DR. MARC WALTER KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 778-9621
Mailing address
601 PINE ST, MELBOURNE BEACH, FL 32951-2242
(914) 443-0377
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OS018114
PA
207L00000X
Anesthesiology Physician
Primary
OS14373
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031375300001
—
PA
Enumeration date
04/09/2012
Last updated
11/13/2023
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