Individual
BORIS REZNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(646) 244-1733
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-6592
(772) 567-4311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB09061100
NJ
207P00000X
Emergency Medicine Physician
Primary
OS13924
FL
Other
Enumeration date
04/04/2012
Last updated
12/14/2018
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