Individual
YEHUDA FUZAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 CLINT MOORE RD STE 100, BOCA RATON, FL 33487-5712
(718) 607-5466
Mailing address
1601 CLINT MOORE RD STE 100, BOCA RATON, FL 33487-5712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295176
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME149146
FL
207RP1001X
Pulmonary Disease Physician
ME149146
FL
208M00000X
Hospitalist Physician
ME149146
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
04/14/2023
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