MEDICARE: YEVGENIYA GOLBRAYKH, MD, PA

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	ME81951	FL

General Provider Information

NPI Number	:	1013915834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YEVGENIYA GOLBRAYKH, MD, PA

Provider Business Mailing Address
First Line	:	17100 COLLINS AVE STE 216
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3675
Country	:	US
Telephone Number	:	305-945-9595
Fax Number	:	305-945-9545

Provider Business Practice Location Address
First Line	:	17100 COLLINS AVE STE 216
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3675
Country	:	US
Telephone Number	:	305-945-9595
Fax Number	:	305-945-9545

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YEVGENIYA GOLBRAYKH
Credential	:	MD
Telephone Number	:	305-945-9595

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	02/28/2008

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