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1679100887
KONSTANTIN TACHAN
SARASOTA, FL
NPI
1679100887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS20150)
Enumeration Date
2020-03-26
Last Update Date
2024-10-18
Business Address
KONSTANTIN TACHAN DO
8592 POTTER PARK DR
SARASOTA, FL 34238-5467
Phone number: 941-921-6618
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Mailing Address
KONSTANTIN TACHAN DO
8592 POTTER PARK DR
SARASOTA, FL 34238-5467
Phone number: 941-921-6618
Copy
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