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DR. ALEXEY MAXIMOVICH MARKELOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13618 W HILLSBOROUGH AVE, TAMPA, FL 33635-9638
(813) 709-8880
(813) 212-2099
Mailing address
13618 W HILLSBOROUGH AVE, TAMPA, FL 33635-9638
(813) 709-8880
(813) 212-2099

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
71292
WI
208200000X
Plastic Surgery Physician
MD173983
OR
208200000X
Plastic Surgery Physician
MD448418
PA
208200000X
Plastic Surgery Physician
Primary
ME155748
FL
208600000X
Surgery Physician
MT192405
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407812365
NORTH BEND MEDICAL CENTER GROUP NPI
OR
01
161133
NORTH BEND MEDICAL CENTER GROUP MEDICAID
OR
05
500698679
OR
01
P01700040
MEDICARE RAILROAD
OR
01
R0000WFBTV
NORTH BEND MEDICAL CENTER GROUP MEDICARE
OR
Enumeration date
06/04/2008
Last updated
10/11/2023
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