Individual
DR. CHARLES ALLEN KOSOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
1851 N KROME AVE, HOMESTEAD, FL 33030-3237
(305) 246-0000
(305) 245-1144
Mailing address
1851 N KROME AVE, HOMESTEAD, FL 33030-3237
(305) 246-0000
(305) 245-1144
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
ME22132
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME22123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037036300
—
FL
Enumeration date
04/13/2006
Last updated
09/20/2011
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