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NPI Code Detail

MEDICARE: KAMILYA N DVOYASHKINA PA-C

MEDICARE: KAMILYA N DVOYASHKINA PA-C
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
1363A00000XPhysician AssistantPA9108923FL

General Provider Information

NPI Number : 1992174239
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMILYA N DVOYASHKINA PA-C
Provider Business Mailing Address
First Line : 7727 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8224
Country : US
Telephone Number : 407-821-3508
Fax Number :
Provider Business Practice Location Address
First Line : 7727 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8224
Country : US
Telephone Number : 407-821-3508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2015
Last Update Date : 02/24/2026

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Directions to “ KAMILYA N DVOYASHKINA PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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