Thomas Kotheimer, PA

NPI 1235126053 · on the registry since 2005

Practice

Address: 2161 Kingsley Ave
Ste 200
Orange Park, FL 32073
Phone: (904) 727-3139
Fax: (904) 276-7434
Organisation at this address: Integrated Community Oncology Network Llc
Integrated Community Oncology Network Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-24

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