Individual
ELIZABETH PALACHICACKA KOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1805 HOBBS RD, AUBURNDALE, FL 33823-4644
(863) 965-5400
(863) 965-3739
Mailing address
1290 GOLFVIEW AVE, 4TH FLOOR ATTN: BILLING DEPARTMENT, BARTOW, FL 33830-6738
(863) 519-7900
(863) 519-7696
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME209029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069749400
—
FL
Enumeration date
10/11/2005
Last updated
08/11/2010
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