Individual
BORIS V KLOPUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21110 BISCAYNE BLVD, SUITE 201, AVENTURA, FL 33180-1227
(305) 534-4747
(305) 937-7726
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME82314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042600
NHP
FL
01
—
0521542
CIGNA
FL
01
—
1047823
CAREPLUS
FL
01
—
11660
DIMENSION
FL
01
—
14VW0
BCBS
FL
01
—
1755252
CIGNA
FL
01
—
244429
AVMED
FL
01
—
5911548
AETNA
FL
01
—
61443
BCBS
FL
01
—
62972
BLUE CROSS BLUE SHIELD
FL
01
—
P01392104
RR MEDICARE
FL
01
—
P01730006
SIMPLY HEALTHCARE
FL
01
—
P1017463
FREEDOM
FL
01
—
P956279
OPTIMUM
FL
Enumeration date
05/01/2006
Last updated
10/06/2016
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