DR. Tad Robert Kosanovich, O.D.

NPI #1285785527 in Englewood, Florida

Provider Information

NPI Number: 1285785527
Entity Type: Individual
Name: DR. Tad Robert Kosanovich, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 15, 2007
Last Updated: Oct 30, 2008

Practice Location

Address: 150 S INDIANA AVE
City: Englewood
State: Florida
ZIP Code: 34223-3307
Phone: (941) 473-1392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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