| Doctor Name: | THERESE K KOSSUTH |
| NPI Number: | 1164469094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | FL2558 |
| Business Practice Address: | 8807 Handel Loop Land O Lakes, FL - 346375822 |
| Business Phone Number: | 8139950738 |
| Business Fax Number: | |
| Mailing Address: | 8807 Handel Loop, LAND O LAKES |
| State: | FL |
| Postal Code: | 346375822 |
| Phone Number: | 8134064799 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 04/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | FL2558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |