Agarunov, Konstantin

Agarunov, Konstantin is an sole proprietor health care provider with primary practice located at 8353 Sw 124Th St Ste 206 , Miami FL 33156-5847. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Agarunov, Konstantin can be contacted via phone (718) 664-7482.

Contact Information

Primary practice address
8353 Sw 124Th St Ste 206 Miami FL 33156-5847
Phone: (718) 664-7482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3990 Florida

Profile Details

NPI number 1194130211
LBN Legal business name Agarunov, Konstantin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2014
Last updated Nov 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194130211 NPPES
Florida Other PO3990 FLORIDA STATE LICENSE

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