Organization
FRED AND LINDA KODESCH, MDS
Active
Other names
Kodesch and Kodesch, MD
Organization subpart
No
Provider details
NPI number
Authorized official
FRED KODESCH M.D. (OWNER)
(321) 267-2001
Entity
Organization
Contact information
Practice address
4300 GARDEN ST, TITUSVILLE, FL 32796-2937
(321) 267-2001
(321) 267-0628
Mailing address
4300 GARDEN ST, TITUSVILLE, FL 32796-2937
(321) 267-2001
(321) 267-0628
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME49057
FL
207W00000X
Ophthalmology Physician
Primary
ME49056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044227500
—
FL
05
—
044369700
—
FL
Enumeration date
10/22/2008
Last updated
09/27/2010
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