Healthcare Provider Details

I. General information

NPI: 1013979160
Provider Name (Legal Business Name): FRANK ANDREW KOZEL MD MSCR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 W CALL ST
TALLAHASSEE FL
32304-3556
US

IV. Provider business mailing address

1115 W CALL ST
TALLAHASSEE FL
32304-3556
US

V. Phone/Fax

Practice location:
  • Phone: 850-644-1855
  • Fax:
Mailing address:
  • Phone: 850-644-1855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME110398
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberM1847
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: