V MIROSHNICHENKO DPM PA NPI 1336330026

NPI Information

  • NPI: 1336330026
  • Provider Name: V MIROSHNICHENKO DPM PA
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 8333 W MCNAB RD
    SUITE 116
    TAMARAC, FL
    ZIP 33321
  • Phone: (954) 721-1990

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NPI Details

V MIROSHNICHENKO DPM PA is a podiatrist in Tamarac, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. V MIROSHNICHENKO DPM PA NPI is 1336330026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8333 W MCNAB RD
SUITE 116
TAMARAC, FL
ZIP 33321-242
Phone: (954) 721-1990
Fax: (954) 721-1932

The provider's authorized official is Victor Miroshnichenko .
The authorized official title is President / Owner and has the following contact phone number (954) 721-1990.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 4/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristPO2442FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U62405MEDICARE UPINFLORIDA
2AP148OTHERFLORIDAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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