Individual
DR. DMITRY ALEKS DRAPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 STERTHAUS DR, ORMOND BEACH, FL 32174-5133
(904) 442-1414
(386) 231-5962
Mailing address
1268 MAIN ST STE A, NEWINGTON, CT 06111-3038
(860) 817-3046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203390
VA
207Q00000X
Family Medicine Physician
Primary
044942
CT
207Q00000X
Family Medicine Physician
OS18875
FL
207QA0505X
Adult Medicine Physician
OS18875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669487542
—
VA
Enumeration date
07/30/2006
Last updated
04/30/2024
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