Individual
VESELIN DIMITROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 E HOWARD ST, WILLARD, OH 44890-1611
(800) 514-1494
Mailing address
6400 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8768
(800) 639-0579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35076535
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187190
BCBS
OH
05
—
2159686
—
OH
01
—
P00168177
RR MCR
—
Enumeration date
08/21/2006
Last updated
01/27/2010
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