Kokoska, Mikel M
Kokoska, Mikel M is an sole proprietor health care provider with primary practice located at 8102 Citrus Park Town Center , Tampa FL 33625. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kokoska, Mikel M can be contacted via phone (813) 926-6288.Contact Information
Primary practice address
8102 Citrus Park Town Center
Tampa FL 33625
Phone: (813) 926-6288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2472 | Florida |
Profile Details
| NPI number | 1215921564 |
|---|---|
| LBN Legal business name | Kokoska, Mikel M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | May 16th, 2018 - about 6 years ago |
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 | 1215921564 | NPPES |
| Florida | MEDICAID | 084741100 | |
| Florida | Other | 180016475 | |
| Florida | Other | 931211 | |
| Florida | Other | 13062 | |
| Florida | Other | 18630 | |
| Florida | Other | 22871 | |
| Florida | Other | 931211 |
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