Healthcare Provider Details

I. General information

NPI: 1851232235
Provider Name (Legal Business Name): VERONIKA SKOROBOGATKO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 KUHL AVE
ORLANDO FL
32806-2008
US

IV. Provider business mailing address

1615 SAWDUST RD APT 12113
THE WOODLANDS TX
77380-3696
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-8933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberPATHOLOGY
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: