Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME98098 | FL |
NPI | 1114005071 |
---|---|
Provider Name | Victoria Belogolovkin |
First Address | Miami, FL 33136-1051 |
Second Address | Miami, FL 33137-9800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 20/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
277964100 | (05) | FL |
95950 | BLUE CROSS BLUE SHIELD (01) | FL |
I27069 | (02) | FL |