MEDICARE: HEALTH POINT MEDICAL FL PROFESSIONAL ASSOCIATION

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1649137068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH POINT MEDICAL FL PROFESSIONAL ASSOCIATION

Provider Business Mailing Address
First Line	:	2751 S OCEAN DR APT 408S
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-2745
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2751 S OCEAN DR APT 408S
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-2745
Country	:	US
Telephone Number	:	347-449-3693
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IRINA KORNEEVA-VLADIMIRSKY
Credential	:	MD
Telephone Number	:	347-449-3693

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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