Individual
MICHAEL GEORGE KOBASKY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13741 NW 20TH ST, PEMBROKE PINES, FL 33028-2616
(954) 559-5527
Mailing address
13741 NW 20TH ST, PEMBROKE PINES, FL 33028-2616
(954) 559-5527
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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