Individual
IORDAN POTCHILEEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036166015
IL
207L00000X
Anesthesiology Physician
81811-21
WI
207L00000X
Anesthesiology Physician
OS19155
FL
Other
Enumeration date
03/20/2018
Last updated
04/20/2026
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