Individual
SANJA COSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5001 E BUSCH BLVD, TAMPA, FL 33617-5303
(813) 984-8846
(813) 988-8827
Mailing address
5001 E BUSCH BLVD, TAMPA, FL 33617-5303
(813) 984-8846
(813) 988-8827
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME67362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252248900
—
FL
Enumeration date
09/09/2005
Last updated
10/19/2020
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