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Search › Florida › 207W00000X

Kenzo Koike, M.D

NPI 1053750794 · on the registry since 2013 · sole proprietor

Practice

Address
11512 Lake Mead Ave Unit 534
Jacksonville, FL 32256
Phone
(904) 564-2020
Organisation at this address
Live Well M.D.
Jax Healthcare Llc
Hampton Pediatrics Pa
Seven Oaks Therapy Llc
Little Star Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
91

Additional practice sites

  • 1977 Butler Blvd, Houston, TX
  • 3780 Us Highway 1 S, St Augustine, FL

Registry record

Primary taxonomy
207W00000X
207W00000X
Also registered as
207WX0009X
207WX0009X
Licence states on file
FL, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida