Koberda, Jaroslaw Lucas
Koberda, Jaroslaw Lucas is an sole proprietor health care provider with primary practice located at 4838 Kerry Forest Pkwy , Tallahassee FL 32309-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Koberda, Jaroslaw Lucas can be contacted via phone (850) 877-2802.Contact Information
Primary practice address
4838 Kerry Forest Pkwy
Tallahassee FL 32309-2272
Phone: (850) 877-2802
Fax: (850) 222-1383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME88946 | Florida |
Profile Details
| NPI number | 1972548279 |
|---|---|
| LBN Legal business name | Koberda, Jaroslaw Lucas |
| Credentials | M.D., PHD, NEUROLOGY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972548279 | NPPES |
| Other | 04795803 | ECFMG |
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