Individual
RADOMIR KOSANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 SUNSET DR STE 120, SOUTH MIAMI, FL 33143-4832
(786) 596-3876
(786) 533-9989
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-3876
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036143746
IL
208100000X
Physical Medicine & Rehabilitation Physician
18382
WI
208100000X
Physical Medicine & Rehabilitation Physician
53208
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME152087
FL
208VP0014X
Interventional Pain Medicine Physician
01083026A
IN
208VP0014X
Interventional Pain Medicine Physician
36.143746
IL
208VP0014X
Interventional Pain Medicine Physician
53028
KY
208VP0014X
Interventional Pain Medicine Physician
ME152087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033818
—
IN
05
—
7100644790
—
KY
05
—
QMP000005573901
—
IL
Enumeration date
12/13/2013
Last updated
04/08/2024
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