Individual
JOBY KOLSUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8843 TROPICAL CT, FORT MYERS, FL 33908-9241
(267) 679-7907
Mailing address
8843 TROPICAL CT, FORT MYERS, FL 33908-9241
(267) 679-7907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS008160L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015700430010
—
PA
01
—
0893602000
INDEPENDENCE BC
PA
01
—
849942
HIGHMARK BS
PA
Enumeration date
03/28/2006
Last updated
11/09/2023
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