Individual
KHOZHIAKBAR ISAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102207007
VA
207P00000X
Emergency Medicine Physician
Primary
OS19915
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
08/23/2023
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