MEDICARE: MARINA YAGUDAEV O. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC3753	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OPC3753	OTHER	FL	OPTOMETRIST LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447209887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA YAGUDAEV O. D.

Provider Business Mailing Address
First Line	:	17100 COLLINS AVE #112
Second Line	:
City	:	SUNNY ISLES
State	:	FL
Zip	:	33160-3675
Country	:	US
Telephone Number	:	305-917-1037
Fax Number	:	305-917-1337

Provider Business Practice Location Address
First Line	:	17100 COLLINS AVE #112
Second Line	:
City	:	SUNNY ISLES
State	:	FL
Zip	:	33160-3675
Country	:	US
Telephone Number	:	305-917-1037
Fax Number	:	305-917-1337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	03/10/2017

Similar Medicare Providers

1013915834 — YEVGENIYA GOLBRAYKH, MD, PA
Practice Location Address:

17100 COLLINS AVE STE 216
SUNNY ISLES BEACH, FL
33160-3675

Practice Phone: 305-945-9595
Practice Fax: 305-945-9545

1114989431 — CONFIDENT CARE OF FLORIDA CORP
Practice Location Address:

17100 COLLINS AVE STE 223
SUNNY ISLES BEACH, FL
33160-3675

Practice Phone: 305-933-9337
Practice Fax:

1871505446 — GLORIA VASOLO PT
Practice Location Address:

17100 COLLINS AVE
SUNNY ISLES BEACH, FL
33160-3675

Practice Phone: 305-555-1212
Practice Fax:

1316011109 — MRS. VALENTINE RATNER D.D.S.
Practice Location Address:

17100 COLLINS AVE , SUITE 213
SUNNY ISLES BEACH, FL
33160-3675

Practice Phone: 305-944-7706
Practice Fax: 305-944-7765

1699817288 — MR. MARCO ANTONIO DE FRANCHI SIQUEIRA PT
Practice Location Address:

17100 COLLINS AVE , SUITE 211
SUNNY ISLES BEACH, FL
33160-3675

Practice Phone: 305-947-7788
Practice Fax: 305-947-5458

1053453647 — MR. MARCELO HENARES PORTO PT
Practice Location Address:

17100 COLLINS AVE , SUITE 211
SUNNY ISLES BEACH, FL
33160-3675

Practice Phone: 305-947-7788
Practice Fax: 305-947-5458

Directions to “ MARINA YAGUDAEV O. D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.