Individual provider · Type 1 NPI

Ian Michael Koch

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1386348084 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Call (954) 335-4400 Map

Mailing address

10515 N Haddonstone Pl
Mequon, WI 53092-5953

Other practice locations

  • 2950 Cleveland Clinic Blvd, Weston, FL 33331-3625 · (954) 659-5000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386348084

Ian Michael Koch's National Provider Identifier is 1386348084, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Mar 28, 2023.