Mikhail Fonarov, RPH is a
Pharmacist based in West Park, Florida. Mikhail Fonarov is licensed to practice in Florida (license number PS50922) and his current practice location is
3801 Sw 31st Dr, West Park, Florida. He can be reached at his office (for appointments etc.) via phone at
(786) 325-0999.
NPI number for Mikhail Fonarov is 1164138053 and his current mailing address is 3801 Sw 31st Dr, West Park, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164138053.
Healthcare Provider's Profile
| Full Name | Mikhail Fonarov |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 3801 Sw 31st Dr, West Park, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164138053
- Provider Enumeration Date: 01/25/2023
- Last Update Date: 01/25/2023
Medical Identifiers
Medical identifiers for Mikhail Fonarov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164138053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS50922 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mikhail Fonarov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mikhail Fonarov, RPH
3801 Sw 31st Dr,
West Park, FL 33023-5677
Ph: () - | Mikhail Fonarov, RPH
3801 Sw 31st Dr,
West Park, FL 33023-5677
Ph: (786) 325-0999 |
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