Most Relevant Information
Provider Data
| NPI Number: | 1003651993 |
| Provider Name: | YELENA SLOBODSCOY IGNATOV BSC, MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2024 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
3100 SW 62ND AVE
MIAMI
FL
331553009
Practice Location Phone/Fax
| Phone: | 3056695873 |
| Fax: |
Provider Mailing Location
3100 SW 62ND AVE
MIAMI
FL
331553009
Provider Mailing Phone/Fax
| Phone: | 3056695873 |
| Fax: |