Kostyleva, Ekaterina
Kostyleva, Ekaterina is an sole proprietor health care provider with primary practice located at 1250 E Hallandale Beach Blvd Ste 300 , Hallandale Beach FL 33009-4644. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Kostyleva, Ekaterina can be contacted via phone (786) 438-6737.Contact Information
Primary practice address
1250 E Hallandale Beach Blvd Ste 300
Hallandale Beach FL 33009-4644
Phone: (786) 438-6737
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 11026614 | Florida |
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 11026614 | Florida |
Profile Details
NPI number | 1932884368 |
---|---|
LBN Legal business name | Kostyleva, Ekaterina |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 21st, 2023 |
Last updated | Jul 7th, 2023 - about last year |
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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