Individual
SEMAAN GEORGES KOSSEIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SAN MARCO BLVD, REID BUILDING, STE 300, JACKSONVILLE, FL 32207-8568
(904) 253-6910
(904) 253-6964
Mailing address
1325 SAN MARCO BLVD, REID BUILDING STE 300, JACKSONVILLE, FL 32207-8568
(904) 253-6910
(904) 253-6964
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME112003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007253900
—
FL
01
—
14L62
BCBS
FL
01
—
59-3385828
TAX ID FOR OTHER INSURANCES
FL
01
—
9078298
AETNA
FL
01
—
P01205945
MEDICARE RAILROAD
FL
Enumeration date
10/17/2007
Last updated
04/11/2017
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