Makarov, Vyacheslav

Makarov, Vyacheslav is an individual health care provider with primary practice located at 1400 Ne Miami Gardens Dr Suite 105, North Miami Beach FL 33179-4845. 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. Makarov, Vyacheslav can be contacted via phone (305) 974-5933.

Contact Information

Primary practice address
1400 Ne Miami Gardens Dr Suite 105 North Miami Beach FL 33179-4845
Phone: (305) 974-5933
Fax: (305) 974-5196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3522 Florida

Profile Details

NPI number 1053572511
LBN Legal business name Makarov, Vyacheslav
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Apr 9th, 2020 - about 4 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 1053572511 NPPES
Florida MEDICAID 007138400

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