Individual
DR. BASSEM TIMOTHY KODSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 N MAIN ST, GAINESVILLE, FL 32609-3650
(352) 265-9592
Mailing address
DEPARTMENT OF COMMUNITY HEALTH AND FAMILY, 1600 SW ARCHER RD, SUITE N107, GAINESVILLE, FL 32610-3001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TRN17241
FL
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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