Harry M Koslowski MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0062907 Issued in FL

Legal business name

HARRY M KOSLOWSKI MD PA

Practice address

3599 University Blvd S
Suite 601
Jacksonville, FL 32216-4252

Phone

(904) 367-0707

Fax

(904) 367-0717

NPI assigned

Nov 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harry M Koslowski, MD

Title

Owner President

Phone

(904) 367-0707

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1174690762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-367-0707",
            "fax_number": "904-367-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-367-0707",
            "fax_number": "904-367-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY M KOSLOWSKI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "KOSLOWSKI",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "904-367-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0062907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372435200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Harrison, MS,ATC,LAT,LMT,PES
• Stevi Marie Harrison, PA-C
• Brianna L Harrod, APRN
• Ashley Renee Harrold, LMHC
• Harry Borcherding Arnp PA
• Jeffrey Allen Harry
• Amy Luebke Hart, ARNP
• Anela Hart
• Bianca Hart
• Cory Hart, CAA

• Neurology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.