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Individual

DR. JAROSLAW LUCAS KOBERDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PHD, NEUROLOGY

Contact information

Practice address
4838 KERRY FOREST PKWY, TALLAHASSEE, FL 32309-2272
(850) 877-2802
(850) 222-1383
Mailing address
4838 KERRY FOREST PKWY, TALLAHASSEE, FL 32309-2272
(850) 877-2802
(850) 222-1383

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME88946
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04795803
ECFMG
Enumeration date
06/19/2006
Last updated
03/07/2023
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