Kenneth W Stathos

NPI 1740504083 - Spec/Tech, Cardiovascular - 246XS1301X

NPI Details
NPI 1740504083
Gender Male
Enumeration Date 03/15/2010
Last Updated 03/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1111 N 25TH AVE
HOLLYWOOD FL, 33020-3405, US
Phone (954) 921-6494
Fax
Business Location
1111 N 25TH AVE
HOLLYWOOD FL, 33020-3405, US
Phone (954) 921-6494
Fax
Toxanomy
Taxonomy Code 246XS1301X
License State
License Number
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According to our database, Kenneth W Stathos NPI is 1740504083, taxonomy code is 246XS1301X Kenneth W Stathos physically located at 1111 N 25th Ave, Hollywood FL, 33020-3405. NPI Number Kenneth W Stathos has the Individual type.

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1740504083 NPI number is provided on an as is basis without warranty of any kind. 1740504083 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth W Stathos are for informational purposes only.