Individual
DR. YAREMA BASIL BEZCHLIBNYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2 TAMPA GENERAL CIR FL CIRCLE7, TAMPA, FL 33606-3603
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
75605
GA
207T00000X
Neurological Surgery Physician
Primary
ME133248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022253000
—
FL
01
—
PQLRU
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/05/2016
Last updated
03/18/2021
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