Doctor Name: | MRS. GLENDA DAWN KOSBE |
NPI Number: | 1851511596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CERTIFIED FITTER |
License Number: | |
Business Practice Address: | 4301 32nd St W Suite E-4 Bradenton, FL - 342052700 |
Business Phone Number: | 9417951539 |
Business Fax Number: | 9417531482 |
Mailing Address: | 8663 46th Avenue Cir W, BRADENTON |
State: | FL |
Postal Code: | 342102447 |
Phone Number: | 9417951539 |
Fax Number: | 9417531482 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |