Individual
SARAH KOSSIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TAMPA GENERAL CIR # A, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11006278
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11006278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107105200
—
FL
01
—
Q590S
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/23/2020
Last updated
03/09/2023
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