Thomas Kotheimer, PA

NPI #1235126053 in Orange Park, Florida

Provider Information

NPI Number
1235126053
Entity Type
Individual
Name
Thomas Kotheimer, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Oct 6, 2005
Last Updated
May 24, 2012

Practice Location

Address
2161 KINGSLEY AVE
Address 2
STE 200
State
Florida
ZIP Code
32073-5113
Phone
(904) 727-3139

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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