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General NPI Number Information
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NPI Number | 1275763757
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Entity Type | Individual
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Provider Name | ANTON LISHMANOV M.D., PHD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 14100 FIVAY RD STE 160
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City | HUDSON
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State | FL
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Zip | 34667-7194
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Country | US
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Telephone | 727-862-1080
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Fax | 727-863-3093
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Provider Business Mailing Address
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Address Line | 14100 FIVAY RD STE 160
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City | HUDSON
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State | FL
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Zip | 34667-7194
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Country | US
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Telephone | 277-862-1080
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Fax | 727-863-3093
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2012-01544
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | E-13739
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2012-01544
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | E-13739
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 201201544
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | E-13739
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License Number State | AR
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Taxonomy #7
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | E-13739
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License Number State | AR
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Taxonomy #8
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 201201544
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME132480
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 201201544
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License Number State | NC
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Taxonomy #11
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | E-13739
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License Number State | AR
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Taxonomy #12
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME132480
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License Number State | FL
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