Provider Demographics
NPI:1043194004
Name:OSEI ASSIBEY, MICHAEL KOSAK
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KOSAK
Last Name:OSEI ASSIBEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 CHAD RICHARD CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6989
Mailing Address - Country:US
Mailing Address - Phone:786-660-4291
Mailing Address - Fax:
Practice Address - Street 1:5200 CHAD RICHARD CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6989
Practice Address - Country:US
Practice Address - Phone:786-660-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist