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Organization

V MIROSHNICHENKO DPM PA

Active
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Organization

V MIROSHNICHENKO DPM PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR MIROSHNICHENKO D.P.M. (PRESIDENT / OWNER)
(954) 721-1990
Entity
Organization

Contact information

Practice address
8333 W MCNAB RD, SUITE 116, TAMARAC, FL 33321-3242
(954) 721-1990
(954) 721-1932
Mailing address
8333 W MCNAB RD, SUITE 116, TAMARAC, FL 33321-3242
(954) 721-1990
(954) 721-1932

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP148
MEDICARE PTAN
FL
Enumeration date
08/07/2007
Last updated
04/26/2010
About Stedi
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