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NPI Code Detail

MEDICARE: MAKSYM SAVCHENKO LDO

MEDICARE: MAKSYM SAVCHENKO LDO
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
1156FX1800XOpticianDO7680FL

General Provider Information

NPI Number : 1083304513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKSYM SAVCHENKO LDO
Provider Business Mailing Address
First Line : 20608 NE 7TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33179-2419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1425 NE 163RD ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4624
Country : US
Telephone Number : 305-949-5670
Fax Number : 305-949-5675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 05/09/2023

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