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NPI Code Detail

MEDICARE: DENIS KARCHEBNYI SA-C

MEDICARE:   DENIS  KARCHEBNYI  SA-C
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
1246ZC0007XSurgical Assistant19-429FL

General Provider Information

NPI Number : 1487297602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENIS KARCHEBNYI SA-C
Provider Business Mailing Address
First Line : 3917 MAHOGANY LN
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-2466
Country : US
Telephone Number : 786-777-8221
Fax Number :
Provider Business Practice Location Address
First Line : 3917 MAHOGANY LN
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-2466
Country : US
Telephone Number : 786-777-8221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2019
Last Update Date : 07/22/2020

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Directions to “ DENIS KARCHEBNYI SA-C” Practice Location

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