Individual
DR. PETER ALLEN KOSOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9406 BALM RIVERVIEW ROAD, RIVERVIEW, FL 33569-4329
(813) 236-9310
(813) 236-9311
Mailing address
PO BOX 1885, RIVERVIEW, FL 33568-1885
(813) 236-9310
(813) 236-9311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME79005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME79005
LICENSE
FL
Enumeration date
05/11/2006
Last updated
03/07/2023
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