Individual
IRINA SADOVNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(617) 528-8627
Mailing address
1696 SE 4TH CT, DEERFIELD BEACH, FL 33441-4920
(617) 528-8627
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
166830
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2018
Last updated
07/18/2024
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