# GVB MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477989069
- **Authorized official:** GEORGIY BRUSOVANIK MD (OWNER)
- **Authorized official phone:** (305) 467-5678

## Contact information

- **Practice address:** 4770 BISCAYNE BLVD, SUITE 1100, MIAMI, FL 33137-4559
- **Practice address phone:** (305) 467-5678
- **Mailing address:** 4770 BISCAYNE BLVD, SUITE 100, MIAMI, FL 33137-4559
- **Mailing address phone:** (305) 467-5678
- **Mailing address fax:** (305) 821-6782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2013
- **Last updated:** 07/03/2023