Provider Demographics
NPI:1992344782
Name:FILIPOVA,, NADEZHDA (AP, DOM)
Entity type:Individual
Prefix:DR
First Name:NADEZHDA
Middle Name:
Last Name:FILIPOVA,
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11301 S ORANGE BLOSSOM TRL STE A208
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-9292
Mailing Address - Country:US
Mailing Address - Phone:407-751-2192
Mailing Address - Fax:407-542-2243
Practice Address - Street 1:1287 N SEMORAN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3530
Practice Address - Country:US
Practice Address - Phone:077-512-1924
Practice Address - Fax:407-542-2243
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4112171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist