Individual
ILIA KULDOSHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
8000 W BROWARD BLVD STE 1418, PLANTATION, FL 33388-0014
(786) 944-6842
Mailing address
8000 W BROWARD BLVD STE 1418, PLANTATION, FL 33388-0014
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
10D2246126
FL
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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