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Individual

GUILLERMO W COSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1305 S FORT HARRISON AVE, BLDG F, CLEARWATER, FL 33756-3301
(727) 441-3857
(727) 449-2508
Mailing address
1305 S FORT HARRISON AVE, BLDG F, CLEARWATER, FL 33756-3301
(727) 441-3857
(727) 449-2508

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00118063
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052760200
FL
Enumeration date
09/21/2005
Last updated
03/16/2011
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