Individual
DR. ANDREW KOSSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 9TH ST N STE 300, NAPLES, FL 34102-5887
(239) 624-0940
(239) 624-0941
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME168495
FL
208M00000X
Hospitalist Physician
Primary
ME168495
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
06/24/2024
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