Fred And Linda Kodesch, Mds

NPI 1790937712 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1790937712
Enumeration Date 10/22/2008
Last Updated 09/27/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FRED FRED
Position OWNER
Phone (321) 267-2001
Fax (321) 267-0628
Practice Location
4300 GARDEN ST
TITUSVILLE FL, 32796-2937, US
Phone (321) 267-2001
Fax (321) 267-0628
Business Location
4300 GARDEN ST
TITUSVILLE FL, 32796-2937, US
Phone (321) 267-2001
Fax (321) 267-0628
Toxanomy
Taxonomy Code 207K00000X
License State Florida
License Number ME49057
Remove 1790937712 NPI Number
 

According to our database, Fred And Linda Kodesch, Mds NPI is 1790937712, taxonomy code is 207K00000X and license number is ME49057, license state is located at Florida. Fred And Linda Kodesch, Mds physically located at 4300 Garden St, Titusville FL, 32796-2937. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1790937712 NPI number is provided on an as is basis without warranty of any kind. 1790937712 is maintained by the National Plan & Provider Enumeration System. The contents of Fred And Linda Kodesch, Mds are for informational purposes only.