Boris V Klopukh MD

NPI 1003873183 - Urology - 208800000X

NPI Details
NPI 1003873183
Gender Male
Enumeration Date 05/01/2006
Last Updated 03/30/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
21110 BISCAYNE BLVD
SUITE 201
AVENTURA FL, 33180-1227, US
Phone (305) 534-4747
Fax (305) 937-7726
Business Location
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS FL, 33907-1412, US
Phone (239) 931-7342
Fax (305) 937-7726
Toxanomy
Taxonomy Code 208800000X
License State Florida
License Number ME82314
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According to our database, Boris V Klopukh MD NPI is 1003873183, taxonomy code is 208800000X and license number is ME82314, license state is located at Florida. Boris V Klopukh MD physically located at 21110 Biscayne Blvd, Aventura FL, 33180-1227. NPI Number Boris V Klopukh MD has the Individual type.

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1003873183 NPI number is provided on an as is basis without warranty of any kind. 1003873183 is maintained by the National Plan & Provider Enumeration System. The contents of Boris V Klopukh MD are for informational purposes only.