Individual
ROMAN KAZACHOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8447
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9358798
FL
Other
Enumeration date
07/08/2013
Last updated
07/09/2013
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