Dmitry Byk Md Pa | |
12515 Orange Dr Ste 801 Davie FL 33330-4309 | |
(954) 574-2804 | |
(954) 284-0182 |
Full Name | Dmitry Byk Md Pa |
---|---|
Speciality | Psychiatry & Neurology |
Location | 12515 Orange Dr Ste 801, Davie, Florida |
Authorized Official Name and Position | Dmitry Byk (PRESIDENT) |
Authorized Official Contact | 9545742804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dmitry Byk Md Pa 12515 Orange Dr Ste 801 Davie FL 33330-4309 Ph: (954) 574-2804 | Dmitry Byk Md Pa 12515 Orange Dr Ste 801 Davie FL 33330-4309 Ph: (954) 574-2804 |
NPI Number | 1174864995 |
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Provider Enumeration Date | 03/04/2013 |
Last Update Date | 07/03/2023 |
Certification Date | 07/03/2023 |
Medicare PECOS PAC ID | 7810132800 |
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Medicare Enrollment ID | O20130321000587 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174864995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME98584 (Florida) | Primary |
Provider Name | Dmitry Byk |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194826511 PECOS PAC ID: 2062410640 Enrollment ID: I20081110000632 |
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