Individual
DR. VLADISLAV GORBATIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2134
(954) 463-6408
(954) 463-1858
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME110963
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN#14540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006449600
—
FL
01
—
13088
DIMENSIONS HEALTH
FL
01
—
14LY8
BCBS FL
FL
01
—
25877
MEDICA
FL
01
—
3674924
CIGNA
FL
01
—
813583
WELLCARE
FL
01
—
9916895
AETNA
FL
01
—
F00349514201
UNITED HEALTHCARE
FL
01
—
P0005386
FLORIDA HEALTHCARE PLUS
FL
01
—
P01099396
RAILROAD MEDICARE
FL
01
—
P01727492
SIMPLY HEALTHCARE
FL
01
—
P1002957
FREEDOM HEALTH
FL
01
—
P943414
OPTIMUM
FL
01
—
QMP000004921476
MOLINA
FL
Enumeration date
03/30/2010
Last updated
03/31/2017
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