MEDICARE: FRANK ANDREW KOZEL MD MSCR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME110398	FL
2	2084P0800X	Psychiatry Physician	M1847	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	14F17	OTHER	FL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013979160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK ANDREW KOZEL MD MSCR

Provider Business Mailing Address
First Line	:	1115 W CALL ST
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-3556
Country	:	US
Telephone Number	:	850-644-1855
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 W CALL ST
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-3556
Country	:	US
Telephone Number	:	850-644-1855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	07/13/2022

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