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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174937130 NPPES
Florida MEDICAID 103318800

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