Individual
DR. SAMANTHA BEVERLY KOZAKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8900 GLADIOLUS DR STE 201, FORT MYERS, FL 33908-4492
(239) 267-7888
(239) 267-0409
Mailing address
8900 GLADIOLUS DR STE 201, FORT MYERS, FL 33908-4492
(239) 267-7888
(239) 267-0409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AY2644
FL
174400000X
Specialist
—
—
231H00000X
Audiologist
AY2644
FL
237600000X
Audiologist-Hearing Aid Fitter
Primary
AY2644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
N/A
FL
01
—
AY2644
LICENSE
FL
Enumeration date
08/18/2022
Last updated
01/13/2026
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