Kochicheril N Moni in Live Oak - Specialist
Kochicheril N Moni - NPI 1942207485
Kochicheril N Moni is a Specialist in Live Oak, Florida. Kochicheril N Moni practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kochicheril N Moni is 1942207485. The last update date is 2011-09-08.
Kochicheril N Moni's current location address is 1116 Sw 11th Street, Live Oak, Florida. You can contact this provider via phone number 3863620820 and fax number 3863620821. The mailing address for Kochicheril N Moni is 1116 Sw 11th Street, Live Oak, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kochicheril N Moni |
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Address | 1116 Sw 11th Street, Live Oak, Florida |
Phone Number | 3863620820 |
Fax Number | 3863620821 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1942207485 |
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Provider Enumeration Date | 2005-06-30 |
Last Updated Date | 2011-09-08 |
Provider Mailing Address Detail
Address | 1116 Sw 11th Street |
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City | Live Oak |
State | Florida (FL) |
Post Code | 32064 |
Phone Number | 3863620820 |
Fax Number | 3863620821 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 101031293 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6085164 | VA | -- |
Post Comment/ Review Below
What is the Kochicheril N Moni's unique identification number?
The Kochicheril N Moni has been assigned the NPI (National Provider Identifier) Number 1942207485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kochicheril N Moni's facilities are geographically located?
The facilities of Kochicheril N Moni are physically situated at the following location: 1116 Sw 11Th Street, Live Oak, FL, 32064.
What is Kochicheril N Moni's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kochicheril N Moni is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Kochicheril N Moni receive its 1942207485 assignment from the Centers for Medicare & Medicaid Services?
The Kochicheril N Moni was assigned its 1942207485 on 2005-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kochicheril N Moni last refreshed?
The information related to the Kochicheril N Moni, including its address, specialty, and other relevant details, was last updated on 2011-09-08.