Individual
NATANEL KHAITOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-7100
Mailing address
22214 BELLA LAGO DR APT 2224, BOCA RATON, FL 33433-4851
(718) 864-9466
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME161679
FL
Other
Enumeration date
04/09/2020
Last updated
07/19/2023
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