Michael Kawohl, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

L05000117816 Issued in FL

Legal business name

MICHAEL KAWOHL, LLC

Practice address

1013 Revilla LN
Rockledge, FL 32955-2236

Phone

(321) 288-4681

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael George Kawohl

Title

President

Phone

(321) 288-4681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1891157640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 REVILLA LN",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552236",
            "telephone_number": "321-288-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 REVILLA LN",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552236",
            "telephone_number": "321-288-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KAWOHL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KAWOHL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-288-4681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "L05000117816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.