Organization
KC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KASHAN OSTANE M.D. (OWNER)
(561) 336-1265
Entity
Organization
Contact information
Practice address
4890 NW 41ST ST, LAUDERDALE LAKES, FL 33319-4602
(561) 336-1265
Mailing address
4890 NW 41ST ST, LAUDERDALE LAKES, FL 33319-4602
(561) 336-1265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
193200000X
FL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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