Individual
SERGEY KOZYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 CLEVELAND AVE STE 702, FORT MYERS, FL 33901-5857
(239) 343-3474
(239) 343-2968
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3474
(239) 343-2968
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
01083950A
IN
2086S0127X
Trauma Surgery Physician
Primary
ME139548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103318800
—
FL
Enumeration date
06/18/2014
Last updated
11/17/2022
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