NATALIA SUDAKOV M.D. P.A. NPI 1699905729

NPI Information

NATALIA SUDAKOV, M.D., P.A. is a medical specialty clinic center in Hallandale Beach, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NATALIA SUDAKOV, M.D., P.A. NPI is 1699905729. The provider is registered as an organization entity type.

The provider's business location address is:

1801 S OCEAN DR
SUITE E
HALLANDALE BEACH, FL
ZIP 33009-945
Phone: (954) 391-7864
Fax: (954) 391-8468

The provider's authorized official is Natalia Sudakov .
The authorized official title is Ceo and has the following contact phone number (954) 391-7864.

The enumeration date for this NPI number is 7/23/2009 and was last updated on 7/23/2009.

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:

Other Identifiers

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

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