Individual
BARYS VALERIEVICH IHNATSENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-3441
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-3441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME100778
FL
207L00000X
Anesthesiology Physician
TRN8617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281076000
—
FL
Enumeration date
11/20/2006
Last updated
09/30/2008
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