Individual
DR. HENRY JEROME KOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2349 SUNSET POINT RD, UNIT 403, CLEARWATER, FL 33765-1439
(727) 796-8600
(727) 796-8660
Mailing address
PO BOX 20126, TAMPA, FL 33622-0126
(727) 823-2188
(727) 828-0823
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS2430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075216
GHI
—
05
—
062839500
—
FL
01
—
196371
WELLCARE
FL
01
—
81675
BCBS
FL
01
—
P00457437
RAILROAD MEDICARE
FL
Enumeration date
07/13/2005
Last updated
02/04/2010
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