Provider Demographics
NPI:1548611734
Name:KOSER, ROBERT BRADLEY JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRADLEY
Last Name:KOSER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 BROKEN SOUND PKWY NW STE 630
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2766
Mailing Address - Country:US
Mailing Address - Phone:813-388-8605
Mailing Address - Fax:888-511-0039
Practice Address - Street 1:6001 BROKEN SOUND PKWY NW STE 630
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2766
Practice Address - Country:US
Practice Address - Phone:813-388-8605
Practice Address - Fax:888-511-0039
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor