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Individual

DR. MICHAEL JOCHANANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
20600 HIGHLAND LAKES BLVD, NORTH MIAMI BEACH, FL 33179-2242
(305) 932-1620

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7251
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
767638700
FL
Enumeration date
02/14/2007
Last updated
03/12/2009
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