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Individual

ALEKSANDR KAIPOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2225 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3611
(954) 962-6200
Mailing address
1901 W CYPRESS CREEK RD STE 600, FORT LAUDERDALE, FL 33309-1847
(954) 842-7575

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME133899
FL
363L00000X
Nurse Practitioner
ARNP9327250
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN21096
FL

Other

Enumeration date
11/05/2014
Last updated
12/21/2019
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