Organization
FOOT, ANKLE & LEG SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILIYA BEYLIN (PHYSICIAN)
(954) 389-5900
Entity
Organization
Contact information
Practice address
17842 NW 2ND ST, PEMBROKE PINES, FL 33029-2806
(954) 389-5900
Mailing address
3607 OLD CONEJO ROAD, THOUSAND OAKS, CA 91320
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
PO2983
FL
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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