Koetzle, Alex B

Koetzle, Alex B is an individual health care provider with primary practice located at 215 Grand Ave , Coral Gables FL 33133-4841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Koetzle, Alex B can be contacted via phone (305) 441-7179.

Contact Information

Primary practice address
215 Grand Ave Coral Gables FL 33133-4841
Fax: (305) 448-7134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME 54928 Florida

Profile Details

NPI number 1699724195
LBN Legal business name Koetzle, Alex B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 27th, 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 1699724195 NPPES
Florida MEDICAID 372655000
Florida Other 12440
Florida MEDICAID 02576887

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