Organization
TAD R KOSANOVICH OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAD R KOSANOVICH OD (OWNER)
(941) 473-1392
Entity
Organization
Contact information
Practice address
150 S INDIANA AVE, ENGLEWOOD, FL 34223-3307
(941) 473-1392
(941) 473-9379
Mailing address
150 S INDIANA AVE, ENGLEWOOD, FL 34223-3307
(941) 473-1392
(941) 473-9379
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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