Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | ME74653 | FL |
NPI | 1962455527 |
---|---|
Provider Name | Edward C. Kohaut |
First Address | Pensacola, FL 32513-2699 |
Second Address | Pensacola, FL 32503-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 16/12/2016 |