Individual
DR. LILIA NIKOLAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
96 WILLARD ST, SUITE 306, COCOA, FL 32922-7991
(321) 638-0027
(321) 638-0115
Mailing address
1438 TIPPERARY DR, MELBOURNE, FL 32940-6032
(321) 806-4551
(321) 638-0115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME97734
FL
Other
Enumeration date
09/28/2006
Last updated
03/06/2012
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