Kozyr, Sergey
Kozyr, Sergey is an sole proprietor health care provider with primary practice located at 2780 Cleveland Ave Ste 702 , Fort Myers FL 33901-5857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Kozyr, Sergey can be contacted via phone (239) 343-3474.Contact Information
Primary practice address
2780 Cleveland Ave Ste 702
Fort Myers FL 33901-5857
Phone: (239) 343-3474
Fax: (239) 343-2968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 01083950A | Indiana |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME139548 | Florida |
Profile Details
| NPI number | 1174937130 |
|---|---|
| LBN Legal business name | Kozyr, Sergey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2014 |
| Last updated | Nov 17th, 2022 - about 2 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 | 1174937130 | NPPES |
| Florida | MEDICAID | 103318800 |
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