Individual
TIMUR KADIROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1328 SE 17TH ST, FORT LAUDERDALE, FL 33316-1708
(954) 200-6001
Mailing address
1328 SE 17TH ST, FORT LAUDERDALE, FL 33316-1708
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11004885
FL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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