Kozlov, Gregory Nicholas

Kozlov, Gregory Nicholas is an individual health care provider with primary practice located at 204 37Th Ave N Suite 125, Saint Petersburg FL 33704-1416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kozlov, Gregory Nicholas can be contacted via phone (727) 331-2457.

Contact Information

Primary practice address
204 37Th Ave N Suite 125 Saint Petersburg FL 33704-1416
Phone: (727) 331-2457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.127771 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036.127771 Illinois

Profile Details

NPI number 1205006277
LBN Legal business name Kozlov, Gregory Nicholas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Feb 21st, 2014 - about 12 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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