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Individual

DR. IVAN TODOROV STOEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10050 SW INNOVATION WAY STE 102, PORT ST LUCIE, FL 34987-2117
(772) 288-5862
Mailing address
10050 SW INNOVATION WAY STE 102, PORT ST LUCIE, FL 34987-2117
(772) 288-5862

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
118628
FL
207T00000X
Neurological Surgery Physician
Primary
58569
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011056100
FL
Enumeration date
07/04/2006
Last updated
12/15/2022
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