Dr Michael Koski, DO | |
4315 Highland Park Blvd Ste A, Lakeland, FL 33813-1639 | |
(863) 816-5884 | |
(863) 940-4856 |
Full Name | Dr Michael Koski |
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Gender | Male |
Speciality | Family Medicine |
Location | 4315 Highland Park Blvd Ste A, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932669389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS17268 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Entity Name | Advanced Care Hospitalists Pl |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389587 PECOS PAC ID: 5092753632 Enrollment ID: O20050422000853 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Koski, DO 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Dr Michael Koski, DO 4315 Highland Park Blvd Ste A, Lakeland, FL 33813-1639 Ph: (863) 816-5884 |
Danton Manabat Sun, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 | |
Dr. Luis Clyde Favilli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Innovation Dr, Lakeland, FL 33812 Phone: 860-709-1968 Fax: 863-701-2151 | |
Dr. James K Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Pablo St, Lakeland, FL 33803 Phone: 863-284-6800 Fax: 863-687-1033 | |
Greto Ramos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4710 S Florida Ave, Lakeland, FL 33813 Phone: 863-284-6800 | |
Saundra Holseth, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3240 S Florida Ave, Lakeland, FL 33803 Phone: 863-646-4000 Fax: 863-646-5189 | |
Alex I Garriga, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813 Phone: 863-644-4547 Fax: 863-701-9453 | |
Dr. Avantica Gondi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803 Phone: 863-210-5640 Fax: 863-210-5716 |