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NPI Code Detail

MEDICARE: RUSLAN DZHORGOV

MEDICARE:   RUSLAN  DZHORGOV
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
1225100000XPhysical TherapistPT44337FL

General Provider Information

NPI Number : 1821942004
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSLAN DZHORGOV
Provider Business Mailing Address
First Line : 2223 GRACE AVE
Second Line :
City : FORT MITCHELL
State : KY
Zip : 41017-2010
Country : US
Telephone Number : 239-574-4434
Fax Number :
Provider Business Practice Location Address
First Line : 2629 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-5769
Country : US
Telephone Number : 239-574-4434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ RUSLAN DZHORGOV ” Practice Location

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