person
Kraig M Koschmeder, PA-C
Medical Physician Assistant in Tampa, Florida
NPI 1245368158

Kraig M Koschmeder is a Medical Physician Assistant based in Temple Terrace, FL and is specialized in Medical. Kraig M Koschmeder practices in Tampa, FL and has the professional credentials of PA-C. The NPI Number for Kraig M Koschmeder is 1245368158 and holds a License No. PA9104860 (Florida).

The current practice location address for Kraig M Koschmeder is 909 N Dale Mabry Hwy, Tampa, FL and can be reached out via phone at 813-978-9700 and via fax at 813-558-6187.

Location: 909 N Dale Mabry Hwy, Tampa, FL, 33637-0925
person
Provider Profile Details
NPI Number
1245368158
Provider Name
Kraig M Koschmeder
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
909 N Dale Mabry Hwy, Tampa, FL, 33637-0925
Phone Number
813-978-9700
Fax Number
813-558-6187
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9808066 01 FL AETNA
000733800 05 FL
Y0LQ9 01 FL FLORIDA BLUE
373905 01 FL AVMED
P01334010 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
909 N Dale Mabry Hwy
City
State
Zip
33609-1251
Phone Number
813-978-9700
Fax Number
813-558-6187
person
Provider Business Mailing Address Details
Address
909 N Dale Mabry Hwy
City
State
Zip
33609-1251
Phone Number
813-978-9700
Fax Number
813-558-6187
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9104860 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9104860 (Florida)
Definition
Definition to come...
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