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Export Provider Record NPI 1063462794
Peter Allen KosoffMD
Active
NPI Number1063462794
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1063462794
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-05-11
Last Updated2023-03-07
Mailing AddressPo Box 1885
Riverview, FL 33568-1885
United States
Phone: (813) 236-9310 | Fax: (813) 236-9311
📍 View Map
Primary Practice Address9406 Balm Riverview Road
Riverview, FL 33569-4329
United States
Phone: (813) 236-9310 | Fax: (813) 236-9311
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL261874500
Other (non-Medicare)FLME79005license
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsFLme79005
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About NPI 1063462794

Peter Allen Kosoff MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063462794. The primary specialty listed is Pediatrics. The provider is located in Riverview, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063462794?

NPI 1063462794 belongs to Peter Allen Kosoff MD, a Pediatrics in Riverview, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063462794 active?

The current status of NPI 1063462794 in the NPPES registry is Active. The record was last updated on 2023-03-07.

What specialty is NPI 1063462794?

NPI 1063462794 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063462794?

You can verify NPI 1063462794 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063462794?

The primary practice address on file for NPI 1063462794 is 9406 Balm Riverview Road, Riverview, FL 33569-4329. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063462794 issued?

NPI 1063462794 was first issued (enumerated) on 2006-05-11. The NPPES record was last updated on 2023-03-07.

Practice Location Map

Peter Allen Kosoff is located at 9406 Balm Riverview Road, Riverview, FL. Use the map below to find directions or verify the practice location.

📍 9406 Balm Riverview Road, Riverview, FL 33569-4329  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Peter Allen Kosoff. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063462794. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatricsme79005FL
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162