Individual
ZACHARY NATHANIEL KOSSIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6000 49TH ST N, SAINT PETERSBURG, FL 33709-2145
(727) 521-4411
Mailing address
3320 W BALLAST POINT BLVD, TAMPA, FL 33611-3906
(321) 693-4439
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
PAT9116960
FL
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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