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Individual

MIKHAIL VAYSBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
(407) 706-1770
(407) 706-1777
Mailing address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
(407) 706-1770
(407) 706-1777

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
34008737
OH
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
OS10139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278754700
FL
Enumeration date
07/13/2006
Last updated
04/25/2024
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