Organization
JEROME KOSER DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME KOSER (OWNER - PROVIDER)
(727) 796-8600
Entity
Organization
Contact information
Practice address
2349 SUNSET POINT RD, UNIT 403, CLEARWATER, FL 33765-1439
(727) 796-8600
(727) 796-8660
Mailing address
PO BOX 20126, TAMPA, FL 33622-0126
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS2430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG8306
RAILROAD MEDICARE
—
Enumeration date
08/13/2006
Last updated
02/04/2010
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