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Tad R Kosanovich Od Pa
Eyewear Supplier in Englewood, Florida
NPI 1326218215

Tad R Kosanovich Od Pa is a Eyewear Supplier based in Englewood, FL. Tad R Kosanovich Od Pa practices in Englewood, FL. The NPI Number for Tad R Kosanovich Od Pa is 1326218215 and holds a License No. (Florida).

The current practice location address for Tad R Kosanovich Od Pa is 150 S Indiana Ave, Englewood, FL and can be reached out via phone at 941-473-1392 and via fax at 941-473-9379. You can also correspond with Tad R Kosanovich Od Pa through the mailing address at 150 S INDIANA AVE, ENGLEWOOD, FL - 34223-3307 (mailing address contact number: 941-473-1392).

Location: 150 S Indiana Ave, Englewood, FL, 34223-3307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326218215
Provider Name
Tad R Kosanovich Od Pa
Credential
Provider Entity Type
Organization
Address
150 S Indiana Ave, Englewood, FL, 34223-3307
Phone Number
941-473-1392
Fax Number
941-473-9379
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 S Indiana Ave
City
Englewood
State
Florida
Zip
34223-3307
Phone Number
941-473-1392
Fax Number
941-473-9379
person
Provider Business Mailing Address Details
Address
150 S Indiana Ave
City
Englewood
State
Florida
Zip
34223-3307
Phone Number
941-473-1392
Fax Number
941-473-9379
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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