MEDICARE: ILYA FAYBISHENKO

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	247200000X	Other Technician

General Provider Information

NPI Number	:	1538732318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILYA FAYBISHENKO

Provider Business Mailing Address
First Line	:	1317 NE 17TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1826
Country	:	US
Telephone Number	:	305-912-7274
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 NE 17TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1826
Country	:	US
Telephone Number	:	305-912-7274
Fax Number	:

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

Provider Enumeration Date	:	07/20/2021
Last Update Date	:	07/20/2021

Similar Medicare Providers

1912739426 — EMILY MARIE ABREU MA, CF-SLP
Practice Location Address:

1214 S ANDREWS AVE STE 301
FORT LAUDERDALE, FL
33316-1826

Practice Phone: 954-228-4734
Practice Fax:

1871450650 — MS. MONIQUE BARNETT MSN, APRN, PMHNP
Practice Location Address:

2700 NW 36TH TER
LAUDERDALE LAKES, FL
33311-1826

Practice Phone: 754-269-3671
Practice Fax:

1295869907 — INFUSION SYSTEMS OF S W FLORIDA INC
Practice Location Address:

1826 BOY SCOUT DR
FORT MYERS, FL
33907-2113

Practice Phone: 239-482-3022
Practice Fax: 239-482-6411

1831450055 — JENNIFER MARIE NEALIS M.A. CCC-SLP
Practice Location Address:

1826 DEEP WOODS LN
FORT COLLINS, CO
80524-2370

Practice Phone: 727-560-8758
Practice Fax:

1598129876 — DR. KATHLEEN EVANS O.D.
Practice Location Address:

1826 HIGHWAY 160 W STE 101
FORT MILL, SC
29708-8254

Practice Phone: 803-650-3080
Practice Fax: 803-650-3081

1134619802 — MYEYEDR OPTOMETRY OF SOUTH CAROLINA, LLC
Practice Location Address:

1826 HIGHWAY 160 W STE 101
FORT MILL, SC
29708

Practice Phone: 703-847-8899
Practice Fax:

Directions to “ ILYA FAYBISHENKO ” 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.