NICHOLAS KOEHLER, P.A.
Psychiatric at Tampa General Cir, Tampa, FL

License number
Florida ME104572
Category
Osteopathic Medicine
Type
Anesthesiology
License number
Florida ME104572
Category
Osteopathic Medicine
Type
Addiction Medicine
License number
Florida ME104572
Category
Osteopathic Medicine
Type
Pain Medicine
License number
Florida ME104572
Category
Psychiatric
Type
Pain Medicine
License number
Florida ME104572
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: NICHOLAS KOEHLER MD
Title: PRESIDENT
Phone: (813) 393-6247
Address
Address 2
6 Tampa General Cir SUITE R136, Tampa, FL 33606
11807 Park Ave, Seffner, FL 33584
National Provider ID: 1639538754
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NICHOLAS KOEHLER, P.A. at bizstanding.com

NICHOLAS KOEHLER, PA

11807 Park Ave, Seffner, FL 33584

Registration:
Jun 11, 2014
State ID:
P14000050195
Business type:
Florida Profit Corporation
Director, President, Secretary, Vice President:
Nicholas Koehler (Director, President, Secretary, Vice President), 11807 Park Ave, Seffner, FL 33584 (Physical)
Agent:
Spiegel Utrera,1840 SW 22 St, Miami, FL 33145 (Physical)
EIN:
47-1173649

Psychiatric licenses in Florida










Other Doctors licenses in Florida