Provider Demographics
NPI:1437145471
Name:KOSCHES, AMY CAREN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:CAREN
Last Name:KOSCHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6499 POWERLINE RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-2069
Mailing Address - Country:US
Mailing Address - Phone:954-229-2626
Mailing Address - Fax:954-772-6711
Practice Address - Street 1:6499 POWERLINE RD
Practice Address - Street 2:SUITE 209
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-2069
Practice Address - Country:US
Practice Address - Phone:954-229-2626
Practice Address - Fax:954-772-6711
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME00615722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
14878Medicare ID - Type Unspecified