| Jerome Koser Do Pa | |
|
2349 Sunset Point Rd Unit 403 Clearwater FL 33765-1439 | |
| (727) 796-8600 | |
| (727) 796-8660 |
| Full Name | Jerome Koser Do Pa |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2349 Sunset Point Rd, Clearwater, Florida |
| Authorized Official Name and Position | Jerome Koser (OWNER - PROVIDER) |
| Authorized Official Contact | 7277968600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Koser Do Pa Po Box 20126 Tampa FL 33622-0126 Ph: (727) 823-2188 | Jerome Koser Do Pa 2349 Sunset Point Rd Unit 403 Clearwater FL 33765-1439 Ph: (727) 796-8600 |
| NPI Number | 1023020427 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023020427 | NPI | - | NPPES |
| DG8306 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | OS2430 (Florida) | Primary |
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