THOMAS KOTHEIMER

ORANGE PARK, FL
NPI1235126053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: FL  PA 2559)
Enumeration Date2005-10-06
Last Update Date2012-05-24
Business Address
THOMAS KOTHEIMER PA
2161 KINGSLEY AVE STE 200
ORANGE PARK, FL 32073-5113
Phone number: 904-727-3139
Mailing Address
THOMAS KOTHEIMER PA
9143 PHILIPS HWY STE 560
JACKSONVILLE, FL 32256-1348
Phone number: 904-363-2113
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