Organization
FLORENCE FAMILY HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA MARIE KOZACKI M.D. (OWNER)
(843) 664-0399
Entity
Organization
Contact information
Practice address
800 E CHEVES ST, SUITE 380, FLORENCE, SC 29506-2650
(843) 664-0399
(843) 664-4379
Mailing address
800 E CHEVES ST, SUITE 380, FLORENCE, SC 29506-2650
(843) 664-0399
(843) 664-4379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L13607
—
SC
Enumeration date
07/29/2006
Last updated
08/22/2020
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