# ROSTISLAV IGNATOV, M.D., P.A.

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

## Provider details

- **NPI number:** 1609067131
- **Authorized official:** ROSTISLAV IGNATOV M.D. (PRESIDENT)
- **Authorized official phone:** (305) 924-6593

## Contact information

- **Practice address:** 1230 S FEDERAL HWY, STE. 102, BOYNTON BEACH, FL 33435-6000
- **Practice address phone:** (305) 924-6593
- **Mailing address:** PO BOX 547265, SURFSIDE, FL 33154-7265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME 93056 | FL | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 08/08/2007