V Miroshnichenko Dpm PA

NPI #1336330026 in Tamarac, Florida

Provider Information

NPI Number: 1336330026
Entity Type: Organization
Organization Name: V Miroshnichenko Dpm PA
Primary Specialty: Podiatrist
Enumeration Date: Aug 7, 2007
Last Updated: Apr 26, 2010

Practice Location

Address: 8333 W MCNAB RD
Address 2: SUITE 116
City: Tamarac
State: Florida
ZIP Code: 33321-3242
Phone: (954) 721-1990

Authorized Official

Name: DR. VICTOR MIROSHNICHENKO, D.P.M.
Title: PRESIDENT / OWNER
Phone: (954) 721-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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