Individual
DR. MARY JANE FRANCESCA KOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1610 BARRS STREET, JACKSONVILLE, FL 32204
(904) 387-6750
(904) 387-4766
Mailing address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 483-5850
(904) 483-5860
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME54929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277260400
—
FL
Enumeration date
07/02/2006
Last updated
05/24/2011
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