Havkin, Boris

Havkin, Boris is an sole proprietor health care provider with primary practice located at 3021 W Eau Gallie Blvd , Melbourne FL 32934-7005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Havkin, Boris can be contacted via phone (321) 500-4545.

Contact Information

Primary practice address
3021 W Eau Gallie Blvd Melbourne FL 32934-7005
Phone: (321) 500-4545
Fax: (321) 425-4000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME90111 Florida

Profile Details

NPI number 1609867696
LBN Legal business name Havkin, Boris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Jun 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609867696 NPPES
Florida Other 37966 BCBS
Florida Other P01164118 BCBS
Florida MEDICAID 269433600 BCBS

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