Individual
ROBERT WILLIAM KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
5202 CULASAJA CIR, VALRICO, FL 33596-8265
(813) 684-7663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME49059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02113
BCBS
FL
05
—
045279300
—
FL
Enumeration date
10/04/2006
Last updated
08/31/2021
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