Individual
RUSLAN FEDKIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18037 MAMBO DR, BOCA RATON, FL 33496-4113
(917) 309-6339
Mailing address
18037 MAMBO DR, BOCA RATON, FL 33496-4113
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11036129
FL
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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