Individual
SEBASTIAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1002
(305) 243-7520
(305) 243-8470
Mailing address
1475 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1002
(305) 243-7520
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME70460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257431400
—
FL
Enumeration date
04/20/2006
Last updated
02/20/2013
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