Kohlhepp, Marguerite Mary

Kohlhepp, Marguerite Mary is an individual health care provider with primary practice located at 403 Vonderburg Dr , Brandon FL 33511-5982. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Kohlhepp, Marguerite Mary can be contacted via phone (813) 681-1122.

Contact Information

Primary practice address
403 Vonderburg Dr Brandon FL 33511-5982
Fax: (813) 684-4924
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0076125 Florida
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME76125 Florida

Profile Details

NPI number 1659371441
LBN Legal business name Kohlhepp, Marguerite Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated May 18th, 2020 - about 5 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 1659371441 NPPES
Florida Other 58545 BCBSFL
Florida Other 3353345 BCBSFL
Florida Other 9666437 BCBSFL
Florida Other 7514064 BCBSFL
Florida MEDICAID 264786900 BCBSFL

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