V MIROSHNICHENKO DPM PA
Podiatry at Mcnab Rd, Fort Lauderdale, FL

License number
Florida PO2442
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. VICTOR MIROSHNICHENKO D.P.M.
Title: PRESIDENT / OWNER
Phone: (954) 721-1990
Address
Address
8333 W Mcnab Rd SUITE 116, Fort Lauderdale, FL 33321
National Provider ID: 1336330026
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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V. MIROSHNICHENKO, D.P.M., PA

8333 W Mcnab Rd SUITE 116, Fort Lauderdale, FL 33321

Registration:
Dec 8, 1999
State ID:
P99000106376
Business type:
Florida Profit Corporation
Victor Dpm Miroshnichenko, 8333 W Mcnab Rd SUITE 116, Fort Lauderdale, FL 33321 (Physical)
Agent:
Victor Miroshnichenko,8333 W Mcnab Rd SUITE 116, Fort Lauderdale, FL 33321 (Physical)
FEI/EIN:
65-0969367

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