Nicholas M Koch, RPhT
Technician, Other in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1629316088
StatusActive
Last updated in NPPESJan 19, 2013
Details
- NPI
- 1629316088
- Entity type
- Individual (NPI-1)
- Name
- Nicholas M Koch
- Credential
- RPhT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2013
- Last updated
- Jan 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | RPT11893 | FL | Yes |
Practice location
19451 Cochran Blvd Unit 2000Port Charlotte, FL 33948-2008
Phone 941-235-2388 · Fax 941-235-2391
Mailing address
19451 Cochran Blvd Unit 2000Port Charlotte, FL 33948-2008
Phone 941-235-2388 · Fax 941-235-2391
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