Individual
MAXIM VLADIMIROVICH MOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, 3RD FLOOR, TAMPA, FL 33606-3603
(813) 259-0965
(813) 259-0858
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
ME118683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01219990
—
FL
01
—
14V1M
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/06/2010
Last updated
04/29/2025
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