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Individual

DR. JASON KOSOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4725 N. FEDERAL HIGHWAY, FORT LAUDERDALE, FL 19107-6130
(954) 267-6650
(954) 351-7874
Mailing address
PO BOX 11398, FORT LAUDERDALE, FL 33339-1398
(877) 448-8675
(772) 621-3181

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME102978
FL
2085R0202X
Diagnostic Radiology Physician
MT182615
PA

Other

Enumeration date
12/27/2006
Last updated
04/25/2011
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