| Robert B. Koser, M.D.P.A. | |
|
5939 17th Ave W Bradenton FL 34209-7836 | |
| (941) 795-1135 | |
| (941) 795-7373 |
| Full Name | Robert B. Koser, M.D.P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 5939 17th Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Robert B Koser (PRESIDENT) |
| Authorized Official Contact | 9417951135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B. Koser, M.D.P.A. 5939 17th Ave W Bradenton FL 34209-7836 Ph: (941) 795-1135 | Robert B. Koser, M.D.P.A. 5939 17th Ave W Bradenton FL 34209-7836 Ph: (941) 795-1135 |
| NPI Number | 1861658528 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 03/19/2013 |
| Medicare PECOS PAC ID | 0446393409 |
|---|---|
| Medicare Enrollment ID | O20100130000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861658528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0045278 (Florida) | Primary |
| Provider Name | Robert Koser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861409377 PECOS PAC ID: 8628111689 Enrollment ID: I20100130000184 |
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