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Individual

DR. JAMES E KOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
635 1ST ST N, WINTER HAVEN, FL 33881-4129
(863) 294-0670
(863) 298-3200
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043321763
GROUP NPI
FL
01
131864001
DME PALMETTO PROVIDER #
FL
01
1609983345
INDIV NPI
FL
01
480028215
RAILROAD MEDICARE PROVIDE
FL
01
65576
BC BS PROVIDER
FL
01
K0339
MEDICARE GROUP #
FL
Enumeration date
08/25/2006
Last updated
05/01/2026
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