Individual
EVGENY GOROBTSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 LAUREL RD E, NORTH VENICE, FL 34275-3226
(941) 261-9000
Mailing address
5996 ORCHIS RD, VENICE, FL 34293-6722
(269) 548-6961
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11018597
FL
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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