Provider Demographics
NPI:1902646433
Name:TESTOCORE HRT SOLUTIONS LLC
Entity type:Organization
Organization Name:TESTOCORE HRT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YURI
Authorized Official - Middle Name:
Authorized Official - Last Name:KARUKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-850-7198
Mailing Address - Street 1:4733 W ATLANTIC AVE # C8
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3706
Mailing Address - Country:US
Mailing Address - Phone:561-850-7198
Mailing Address - Fax:
Practice Address - Street 1:4733 W ATLANTIC AVE # C8
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3706
Practice Address - Country:US
Practice Address - Phone:561-850-7198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty