Sergey Petrov MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERGEY PETROV MD, PLLC

Practice address

141 NW 20TH St Ste G2
Boca Raton, FL 33431-7964

Phone

(305) 747-5164

NPI assigned

Dec 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sergey Petrov, MD

Title

President

Phone

(212) 365-0864

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1306506613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MONACO E",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461927",
            "telephone_number": "212-365-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NW 20TH ST STE G2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317964",
            "telephone_number": "305-747-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEY PETROV MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "PETROV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-365-0864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Senyshyn, D.D.S.
• Manuel Sepulveda
• Joseline Seraphin
• Serene Global Healthcare LLC
• Serg Health Inc.
• Julia Serna Agudelo
• Danielle Brooke Serota, RMHCI
• Laura Serrania Gonzalez
• Maria Serrano
• Limor Serri, PA-C

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.