Individual
DR. OKTAVIJAN PAUL MINANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 SW 1ST AVE, OCALA, FL 34471-0918
(352) 629-1378
(352) 629-1406
Mailing address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 629-1378
(352) 629-1406
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
178120
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301080928
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10 4478783
—
MI
Enumeration date
04/22/2006
Last updated
02/25/2026
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