SearchFlorida246ZC0007X

Ruslan Khamitov

NPI 1851837272 · on the registry since 2017 · sole proprietor

Practice

Address
4619 Crestview Ln
Lakeland, FL 33813
Phone
(863) 944-6935

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida