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Jennifer Koblik
NPI 1376200659 · on the registry since 2021
Practice
- Address
- 900 Lpga Blvd
Daytona Beach, FL 32117 - Phone
- (386) 226-9000
- Fax
- (352) 382-1146
- Organisation at this address
- Daytona Land Holdings Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-22
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