Vyacheslav Makarov D.P.M

NPI 1053572511 - Podiatrist - 213ES0103X

NPI Details
NPI 1053572511
Gender Male
Enumeration Date 06/18/2008
Last Updated 02/03/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
1400 NE MIAMI GARDENS DR
SUITE 105
NORTH MIAMI BEACH FL, 33179-4845, US
Phone (305) 974-5933
Fax (305) 974-5196
Business Location
1400 NE MIAMI GARDENS DR
SUITE 105
NORTH MIAMI BEACH FL, 33179-4845, US
Phone (305) 974-5933
Fax (561) 989-0775
Toxanomy
Taxonomy Code 213ES0103X
License State Florida
License Number PO3522
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According to our database, Dr. Vyacheslav Makarov D.P.M NPI is 1053572511, taxonomy code is 213ES0103X and license number is PO3522, license state is located at Florida. Vyacheslav Makarov D.P.M physically located at 1400 Ne Miami Gardens Dr, North Miami Beach FL, 33179-4845. NPI Number Vyacheslav Makarov D.P.M has the Individual type.

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1053572511 NPI number is provided on an as is basis without warranty of any kind. 1053572511 is maintained by the National Plan & Provider Enumeration System. The contents of Vyacheslav Makarov D.P.M are for informational purposes only.