Sergey Petrov Md, Pllc | |
141 Nw 20th St Ste G2 Boca Raton FL 33431-7964 | |
(305) 747-5164 | |
Not Available |
Full Name | Sergey Petrov Md, Pllc |
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Speciality | Internal Medicine |
Location | 141 Nw 20th St Ste G2, Boca Raton, Florida |
Authorized Official Name and Position | Sergey Petrov (PRESIDENT) |
Authorized Official Contact | 2123650864 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sergey Petrov Md, Pllc 230 Monaco E Delray Beach FL 33446-1927 Ph: (212) 365-0864 | Sergey Petrov Md, Pllc 141 Nw 20th St Ste G2 Boca Raton FL 33431-7964 Ph: (305) 747-5164 |
NPI Number | 1306506613 |
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Provider Enumeration Date | 12/28/2021 |
Last Update Date | 12/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306506613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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