Organization
KOZAK P T & ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANDREW KOZAK P.T. (ADMINISTRATOR)
(727) 399-8226
Entity
Organization
Contact information
Practice address
10099 SEMINOLE BLVD, SUITE 5A, SEMINOLE, FL 33772-2521
(727) 399-8226
(727) 393-4823
Mailing address
10099 SEMINOLE BLVD, SUITE 5A, SEMINOLE, FL 33772-2521
(727) 399-8226
(727) 393-4823
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 3271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360474900
ACS
FL
01
—
5288337
AETNA
FL
05
—
890763300
—
FL
01
—
R5H
BCBS
FL
01
—
Y4593
BCBS
FL
Enumeration date
04/12/2007
Last updated
05/23/2013
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