| James Kos Md Pllc | |
|
1930 Ne 47th St Ste 100 Ft Lauderdale FL 33308-7704 | |
| (954) 609-9161 | |
| Not Available |
| Full Name | James Kos Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1930 Ne 47th St Ste 100, Ft Lauderdale, Florida |
| Authorized Official Name and Position | James Kos (MANAGER) |
| Authorized Official Contact | 9546099161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Kos Md Pllc 1930 Ne 47th St Ste 100 Ft Lauderdale FL 33308-7704 Ph: (954) 609-9161 | James Kos Md Pllc 1930 Ne 47th St Ste 100 Ft Lauderdale FL 33308-7704 Ph: (954) 609-9161 |
| NPI Number | 1609589886 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/03/2023 |
| Medicare PECOS PAC ID | 2163897216 |
|---|---|
| Medicare Enrollment ID | O20230404000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609589886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James Kos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053406207 PECOS PAC ID: 1557548674 Enrollment ID: I20110526000615 |
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