John Koehler, MD
Emergency Medicine in Palm Bay, FL. Individual provider (NPI-1).
NPI number1144207366
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1144207366
- Entity type
- Individual (NPI-1)
- Name
- John Koehler
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | ME133563 | FL | Yes |
| 207PT0002X | Emergency Medicine, Medical Toxicology | 36072658 | IL |
Practice location
1840 Eldron Blvd Se Ste 1Palm Bay, FL 32909-6871
Phone 321-312-4580 · Fax 321-914-4053
Mailing address
1840 Eldron Blvd Se Ste 1Palm Bay, FL 32909-6871
Phone 321-312-4580 · Fax 321-914-4053
Other practice locations
3475 S Alpine Rd
Rockford, IL 61109-2604
Rockford, IL 61109-2604
Phone 815-874-8000 · Fax 815-874-7525
3475 S Alpine Rd
Rockford, IL 61109-2604
Rockford, IL 61109-2604
Phone 815-874-8000 · Fax 815-874-7525
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