TOSCA KINCHELOW MD PA
Medical Practice at Broward Blvd, Fort Lauderdale, FL

License number
Florida ME99415
Category
Medical Practice
Type
Orthopaedic Surgery
License number
Florida ME99415
Category
Medical Practice
Type
Hand Surgery
Owner
Name: DR. TOSCA KINCHELOW KULENDRAN MD
Title: OWNER, PRESIDENT
Phone: (888) 908-9036
Address
Address
6919 W Broward Blvd #218, Fort Lauderdale, FL 33317
National Provider ID: 1992247670
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TOSCA KINCHELOW, M.D., PA

Fort Lauderdale, FL

Registration:
Feb 3, 2014
Addresses:
6919 W Broward Blvd #218, Fort Lauderdale, FL 33317 (Physical)
6919 W Broward Blvd- #218, Fort Lauderdale, FL 33317 (Mailing)
6100 Banyan Ter, Fort Lauderdale, FL 33317
State ID:
P14000010433
Business type:
Florida Profit Corporation
President:
Tosca Kinchelow Kulendran (President), 6100 Banyan Ter, Fort Lauderdale, FL 33317 (Physical)
Agent:
Kinchelow Kulendran, Tosca, Dr,6100 Banyan Ter, Fort Lauderdale, FL 33317 (Physical)
EIN:
46-4733663

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