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Mr. Kochicheril N Moni, MD
Cardiovascular Disease Physician in Live Oak, Florida
NPI 1942207485

Kochicheril N Moni is a Cardiovascular Disease Physician based in Live Oak, FL and is specialized in Cardiovascular Disease. Kochicheril N Moni practices in Live Oak, FL and has the professional credentials of MD. The NPI Number for Kochicheril N Moni is 1942207485 and holds a License No. 0101031293 (Florida).

The current practice location address for Kochicheril N Moni is 1116 Sw 11Th Street, Live Oak, FL and can be reached out via phone at 386-362-0820 and via fax at 386-362-0821.

Location: 1116 Sw 11Th Street, Live Oak, FL, 32064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942207485
Provider Name
Kochicheril N Moni
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1116 Sw 11Th Street, Live Oak, FL, 32064
Phone Number
386-362-0820
Fax Number
386-362-0821
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6085164 05 VA
institution
Provider Business Practice Location Address Details
Address
1116 Sw 11Th Street
City
Live Oak
State
Florida
Zip
32064
Phone Number
386-362-0820
Fax Number
386-362-0821
person
Provider Business Mailing Address Details
Address
1116 Sw 11Th Street
City
Live Oak
State
Florida
Zip
32064
Phone Number
386-362-0820
Fax Number
386-362-0821
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101031293 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
0101031293 (Virginia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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