NPI 1003873183

Boris V Klopukh, MD

Practitioner Urology Physician Aventura, FL

Practice location

Address: 21110 Biscayne Blvd Suite 201, Aventura, FL 33180-1227
Phone: (305) 534-4747
Fax: (305) 937-7726
Mailing address: 2234 Colonial Blvd Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence ME82314 (FL)

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Registry record

NPI: 1003873183
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2006
Record last updated: 6 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.