Organization
NICHI SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR N NICHIPORENKO MD (OWNER)
(954) 495-1814
Entity
Organization
Contact information
Practice address
100 E SAMPLE RD, SUITE 300, POMPANO BEACH, FL 33064-3554
(954) 495-1814
(954) 301-0720
Mailing address
100 E SAMPLE RD, SUITE 300, POMPANO BEACH, FL 33064-3554
(954) 495-1814
(954) 301-0720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME107033
FL
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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