Kohlhepp, Marguerite Mary
Kohlhepp, Marguerite Mary is an individual health care provider with primary practice located at 403 Vonderburg Dr , Brandon FL 33511-5982. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Kohlhepp, Marguerite Mary can be contacted via phone (813) 681-1122.Contact Information
Primary practice address
403 Vonderburg Dr
Brandon FL 33511-5982
Phone: (813) 681-1122
Fax: (813) 684-4924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME0076125 | Florida |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | ME76125 | Florida |
Profile Details
| NPI number | 1659371441 |
|---|---|
| LBN Legal business name | Kohlhepp, Marguerite Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | May 18th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659371441 | NPPES |
| Florida | Other | 58545 | BCBSFL |
| Florida | Other | 3353345 | BCBSFL |
| Florida | Other | 9666437 | BCBSFL |
| Florida | Other | 7514064 | BCBSFL |
| Florida | MEDICAID | 264786900 | BCBSFL |
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