Organization
NICHOLAS KOEHLER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KOEHLER MD (PRESIDENT)
(813) 393-6247
Entity
Organization
Contact information
Practice address
5802 N 30TH ST, TAMPA, FL 33610-1469
(813) 328-8714
(813) 873-0306
Mailing address
215 N HOWARD AVE STE 101, TAMPA, FL 33606-1574
(813) 328-8714
(813) 873-0306
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME104572
FL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
ME104572
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME104572
FL
208VP0000X
Pain Medicine Physician
ME104572
FL
208VP0014X
Interventional Pain Medicine Physician
ME104572
FL
Other
Enumeration date
02/17/2016
Last updated
02/22/2021
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