Mokin, Maxim Vladimirovich

Mokin, Maxim Vladimirovich is an individual health care provider with primary practice located at 2 Tampa General Cir 3Rd Floor, Tampa FL 33606-3603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Neurology, which is considered as his primary health care specialty. Mokin, Maxim Vladimirovich can be contacted via phone (813) 259-0965.

Contact Information

Primary practice address
2 Tampa General Cir 3Rd Floor Tampa FL 33606-3603
Phone: (813) 259-0965
Fax: (813) 259-0858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X ME118683 Florida

Profile Details

NPI number 1124337290
LBN Legal business name Mokin, Maxim Vladimirovich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2010
Last updated Dec 14th, 2020 - 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 1124337290 NPPES
Florida Other 14V1M BLUE CROSS BLUE SHIELD
Florida MEDICAID 01219990 BLUE CROSS BLUE SHIELD

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