MEDICARE: DR. ROBERT MICHAEL KOSINSKI MD

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	207R00000X	Internal Medicine Physician	ME142775	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME142775	FL
3	207RP1001X	Pulmonary Disease Physician	MA52067	NJ
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME142775	FL
5	207RP1001X	Pulmonary Disease Physician	ME142775	FL

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

General Provider Information

NPI Number	:	1780655068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MICHAEL KOSINSKI MD

Provider Business Mailing Address
First Line	:	1443 SAN MARCO BLVD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8535
Country	:	US
Telephone Number	:	904-253-6910
Fax Number	:	903-253-6964

Provider Business Practice Location Address
First Line	:	14540 OLD SAINT AUGUSTINE RD STE 2403
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-7418
Country	:	US
Telephone Number	:	904-253-6910
Fax Number	:	903-253-6964

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/20/2025

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