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
Phone: (305) 441-7179
Fax: (305) 448-7134
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699724195 | NPPES |
Florida | MEDICAID | 372655000 | |
Florida | Other | 12440 | |
Florida | MEDICAID | 02576887 |
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