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Individual

DR. TATIANA VASYLIEVNA BARSUKOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 391-1330
(904) 391-1319
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43197
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
43197
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
43197
TX

Other

Enumeration date
06/05/2008
Last updated
06/06/2019
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