Individual
BIJU KOSHY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Mailing address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME122133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014709500
—
FL
Enumeration date
01/22/2008
Last updated
03/11/2016
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