Pothen Koruth Md Llc in Lake Mary - Exclusive Provider Organization
Pothen Koruth Md Llc - NPI 1154599132
Pothen Koruth Md Llc is a Exclusive Provider Organization in Lake Mary, Florida. Pothen Koruth Md Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Pothen Koruth Md Llc is 1154599132. The last update date is 2008-02-13.
Pothen Koruth Md Llc's current location address is 758 N Sun Dr, Lake Mary, Florida. You can contact this provider via phone number 4073333303 and fax number 4073333342. The mailing address for Pothen Koruth Md Llc is 758 N Sun Dr, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pothen Koruth Md Llc |
|---|---|
| Address | 758 N Sun Dr, Lake Mary, Florida |
| Phone Number | 4073333303 |
| Fax Number | 4073333342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Brown Victoria Carolyn |
| Telephone Number | 4073333303 |
NPI Number Detail
| NPI Number | 1154599132 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 758 N Sun Dr |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327462599 |
| Phone Number | 4073333303 |
| Fax Number | 4073333342 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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What is the Pothen Koruth Md Llc's unique identification number?
The Pothen Koruth Md Llc has been assigned the NPI (National Provider Identifier) Number 1154599132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Pothen Koruth Md Llc's physical address?
The Pothen Koruth Md Llc is physically located at 758 N Sun Dr, in the city of Lake Mary, FL, with the postal code 327462599.
What is Pothen Koruth Md Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pothen Koruth Md Llc's area of specialization is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 302F00000X.
When did the Pothen Koruth Md Llc receive its 1154599132?
The Pothen Koruth Md Llc was issued its 1154599132 on 2008-02-13, which is the date when the organization was assigned this unique identifier.
When was the Pothen Koruth Md Llc's information last updated?
The Pothen Koruth Md Llc's information was last updated on 2008-02-13.
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