| Thomas Koehne, PA-C | |
|
697 Maitland Avenue, Suite 1002, Altamonte Springs, FL 32701 | |
| (407) 539-2111 | |
| (407) 539-1211 |
| Full Name | Thomas Koehne |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 697 Maitland Avenue, Altamonte Springs, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629166434 | NPI | - | NPPES |
| 972885 | Other | FL | P.A.CERTIFICATE NUMBER |
| 970006599 | Other | FL | RR MC PROVIDER NUMBER |
| 290428400 | Medicaid | FL | |
| PA0003198 | Other | FL | P.A.LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA0003198 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA3198 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Koehne, PA-C 697 Maitland Avenue, Suite 1002, Altamonte Springs, FL 32701 Ph: (407) 539-2111 | Thomas Koehne, PA-C 697 Maitland Avenue, Suite 1002, Altamonte Springs, FL 32701 Ph: (407) 539-2111 |
Mario Heredia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 711 E Altamonte Dr Ste 210, Altamonte Springs, FL 32701 Phone: 407-303-5452 Fax: 407-303-5448 | |
Aldo Joseph Piovesan, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 711 E Altamonte Dr Ste 210, Altamonte Springs, FL 32701 Phone: 407-303-5452 Fax: 407-303-5448 | |
Mr. Mark Anthony Payne, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 921 W Lake Brantley Rd, Altamonte Springs, FL 32714 Phone: 321-624-3102 | |
Brock Perly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 661 E Altamonte Dr Ste 325, Altamonte Springs, FL 32701 Phone: 407-303-4120 Fax: 407-303-4124 | |
Haley Kranz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701 Phone: 407-915-5643 Fax: 407-960-2602 | |
Mr. Raphael O Reyes, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 539 Maitland Avenue, Suite 1002, Altamonte Springs, FL 32701 Phone: 407-539-2111 Fax: 407-539-1211 | |
Maday Campo-hernandez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1090 W State Road 436, Altamonte Springs, FL 32714 Phone: 407-869-1030 Fax: 407-869-1025 |