Organization
KOZHIMALA T. JOHN M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOZHIMALA T JOHN M.D. (M.D./OWNER)
(813) 782-6116
Entity
Organization
Contact information
Practice address
6340 FORT KING RD, ZEPHYRHILLS, FL 33542
(813) 782-6116
(813) 780-1051
Mailing address
PO BOX 1617, ZEPHYRHILLS, FL 33539-1617
(813) 782-6116
(813) 780-1051
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME23148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058391000
—
FL
01
—
1891890638
NPI (INDIVIDUAL)
FL
01
—
51086
BC/BS
FL
Enumeration date
12/29/2011
Last updated
08/22/2018
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