Petrov, Sergey

Petrov, Sergey is an individual health care provider with primary practice located at 5901 Colonial Dr Ste 301 , Margate FL 33063-5683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Petrov, Sergey can be contacted via phone (954) 935-1477.

Contact Information

Primary practice address
5901 Colonial Dr Ste 301 Margate FL 33063-5683
Phone: (954) 935-1477
Fax: (954) 935-1422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME135676 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 225593 New York

Profile Details

NPI number 1497752901
LBN Legal business name Petrov, Sergey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Sep 1st, 2021 - about 3 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 1497752901 NPPES
Florida MEDICAID 100345600

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