Individual
DR. GREGORY NICHOLAS KOZLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
204 37TH AVE N, SUITE 125, SAINT PETERSBURG, FL 33704-1416
(727) 331-2457
Mailing address
204 37TH AVE N, SUITE 125, SAINT PETERSBURG, FL 33704-1416
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.127771
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036.127771
IL
Other
Enumeration date
03/06/2008
Last updated
02/21/2014
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