Organization
DIMITER B HRISTOV, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITER HRISTOV M.D. (OWNER)
(561) 799-9559
Entity
Organization
Contact information
Practice address
1030 BIMINI LN, RIVIERA BEACH, FL 33404-2704
(561) 799-9559
(561) 799-9577
Mailing address
1030 BIMINI LN, RIVIERA BEACH, FL 33404-2704
(561) 799-9559
(561) 799-9577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255397000
—
FL
Enumeration date
01/17/2013
Last updated
04/12/2013
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