Koziol, Larry

Koziol, Larry is an sole proprietor health care provider with primary practice located at 8030 Peters Rd Suite D106, Plantation FL 33324-4038. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Koziol, Larry can be contacted via phone (954) 475-9503.

Contact Information

Primary practice address
8030 Peters Rd Suite D106 Plantation FL 33324-4038
Phone: (954) 475-9503
Fax: (954) 476-2369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0001868 Florida

Profile Details

NPI number 1114064557
LBN Legal business name Koziol, Larry
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114064557 NPPES
Florida Other Z2587 BLUE CROSS BLUE SHIELD FL

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