Koe, Robert

Koe, Robert is an individual health care provider with primary practice located at 1543 Kingsley Avenue Building #12, Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koe, Robert can be contacted via phone (904) 269-9777.

Contact Information

Primary practice address
1543 Kingsley Avenue Building #12 Orange Park FL 32073
Phone: (904) 269-9777
Fax: (904) 264-9774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0039855 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0039855 Florida

Profile Details

NPI number 1609091081
LBN Legal business name Koe, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jun 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609091081 NPPES
Florida MEDICAID 066967900

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