Organization
MJA HEALTHCARE OF FLORIDA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL ARTAMONOV MD (OWNER)
(570) 241-9224
Entity
Organization
Contact information
Practice address
912 S. RIDGEWOOD AVENUE, SUITE D, DAYTONA BEACH, FL 32114
(570) 872-9800
(570) 872-9888
Mailing address
391 E BROWN ST, EAST STROUDSBURG, PA 18301-9101
(570) 241-9224
(570) 872-9888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD424898
PA
Other
Enumeration date
11/22/2013
Last updated
02/10/2014
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