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Contact Information

KENZO J KOIKE, MD
11512 LAKE MEAD AVE UNIT 534
JACKSONVILLE, FL32256
 Phone: 904-564-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Glaucoma Specialist

207WX0009X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KENZO J KOIKE · (Male)

NPI Number 1053750794
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2013
Last updated 10/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME135382
  • TX License # R2382
Hospital affiliation(s)
  • FLAGLER HOSPITAL - (Acute Care)
    400 HEALTH PARK BLVD
    SAINT AUGUSTINE, FL 32086
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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