Individual
DR. MIKEL M KOKOSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8102 CITRUS PARK TOWN CENTER, TAMPA, FL 33625
(813) 926-6288
Mailing address
16111 COPELAND FARMS ROAD, ODESSA, FL 33556
(813) 817-6547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084741100
—
FL
01
—
13062
HERITAGE
FL
01
—
180016475
RR MEDICARE
FL
01
—
18630
SPECTERA
FL
01
—
22871
UNITED HEALTH GROUP VISION PLANS
FL
01
—
931211
HUMANA VCP
FL
Enumeration date
09/01/2005
Last updated
05/16/2018
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