Individual
VALERIE LYNN COSAMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29277 US 19 N, CLEARWATER, FL 33761-2102
(727) 313-4764
(832) 804-8813
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
PA9105825
FL
363A00000X
Physician Assistant
PA9105825
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9105825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003105600
—
FL
01
—
E09767Y
MEDICARE PTAN
FL
Enumeration date
01/11/2011
Last updated
10/30/2018
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