Chornyy, Volodymyr

Chornyy, Volodymyr is an individual health care provider with primary practice located at 2877 Wellness Ave , Orange City FL 32763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Chornyy, Volodymyr can be contacted via phone (386) 668-4650.

Contact Information

Primary practice address
2877 Wellness Ave Orange City FL 32763
Fax: (386) 668-4649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 126651 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME126651 Florida

Profile Details

NPI number 1477961563
LBN Legal business name Chornyy, Volodymyr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2014
Last updated Mar 27th, 2019 - about 5 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 1477961563 NPPES
Florida MEDICAID 017434000

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