Individual
DEBORAH MAJCHEL KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11715 RANGELAND PKWY, BRADENTON, FL 34211-9529
(941) 538-0077
(941) 538-0078
Mailing address
11715 RANGELAND PKWY, BRADENTON, FL 34211-9529
(941) 538-0077
(941) 538-0078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0037502
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME123174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IG528Z
MEDICARE PTAN
FL
01
—
P01570485
RRMCR PTAN
FL
Enumeration date
05/10/2010
Last updated
10/18/2024
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