Provider Demographics
NPI:1508666454
Name:BELOV, SERGEI SERIVCE
Entity type:Individual
Prefix:
First Name:SERGEI
Middle Name:SERIVCE
Last Name:BELOV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 E HALLANDALE BEACH BLVD PH 5
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4863
Mailing Address - Country:US
Mailing Address - Phone:786-815-9557
Mailing Address - Fax:
Practice Address - Street 1:2500 E HALLANDALE BEACH BLVD PH 5
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4863
Practice Address - Country:US
Practice Address - Phone:786-815-9557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular