Kosanovic, Radomir
Kosanovic, Radomir is an individual health care provider with primary practice located at 6200 Sunset Dr Ste 120 , South Miami FL 33143-4832. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kosanovic, Radomir can be contacted via phone (786) 596-3876.Contact Information
Primary practice address
6200 Sunset Dr Ste 120
South Miami FL 33143-4832
Phone: (786) 596-3876
Fax: (786) 533-9989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME152087 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01083026A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 53028 | Kentucky |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME152087 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 36.143746 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 18382 | Wisconsin |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036143746 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 53208 | Kentucky |
Profile Details
| NPI number | 1184055303 |
|---|---|
| LBN Legal business name | Kosanovic, Radomir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2013 |
| Last updated | Apr 8th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184055303 | NPPES |
| Illinois | MEDICAID | QMP000005573901 | |
| Illinois | MEDICAID | 300033818 | |
| Illinois | MEDICAID | 7100644790 |
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