Antoinette N. Koe M.D, P.a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME39854 Issued in FL

Legal business name

ANTOINETTE N. KOE M.D, P.A

Practice address

1543 Kingsley Ave Ste 12
Orange Park, FL 32073-4544

Phone

(904) 269-9777

Fax

(904) 264-9774

NPI assigned

Aug 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antoinette Koe, M.D

Title

M.D

Phone

(904) 269-9777

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Koe, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1609091081
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1235418286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 12",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734544",
            "telephone_number": "904-269-9777",
            "fax_number": "904-264-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 12",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734544",
            "telephone_number": "904-269-9777",
            "fax_number": "904-264-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOINETTE N. KOE M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "KOE",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "904-269-9777",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME39854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Norton Anguas, O.D., P.A.
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• Anna-Marie Veneracion-Yumul, MD, PA (North Florida Family Psychiatry)
• Shawn Michael Anthony
• Maria Antonio-Miranda, M.D.
• Sriramulu Aprameya, M.D.
• Desirae Aquiningoc
• Ara-Orange Park LLC (Northeast Florida Dialysis Center)
• Alberto Cardoso Araujo

• Internal Medicine Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.