Individual
MRS. ANNA LEONIDOVNA BOGDANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-5253
(786) 662-5251
Mailing address
6265 SW 33RD ST, MIAMI, FL 33155-4908
(305) 281-5343
(305) 574-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9105154
FL
Other
Enumeration date
09/27/2009
Last updated
09/27/2009
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