Gorbatiy, Vladislav
Gorbatiy, Vladislav is an individual health care provider with primary practice located at 1200 E Broward Blvd , Fort Lauderdale FL 33301-2134. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Gorbatiy, Vladislav can be contacted via phone (954) 463-6408.Contact Information
Primary practice address
1200 E Broward Blvd
Fort Lauderdale FL 33301-2134
Phone: (954) 463-6408
Fax: (954) 463-1858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN#14540 | Florida |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME110963 | Florida |
Profile Details
| NPI number | 1831414143 |
|---|---|
| LBN Legal business name | Gorbatiy, Vladislav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2010 |
| Last updated | Mar 31st, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831414143 | NPPES |
| Florida | Other | P0005386 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | P943414 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | 25877 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | 13088 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | 14LY8 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | 3674924 | FLORIDA HEALTHCARE PLUS |
| Florida | MEDICAID | 006449600 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | 813583 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | P01727492 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | 9916895 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | P01099396 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | QMP000004921476 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | F00349514201 | FLORIDA HEALTHCARE PLUS |
| Florida | Other | P1002957 | FLORIDA HEALTHCARE PLUS |
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