Vladimir Havryliuk M D P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME86747 Issued in FL

Legal business name

VLADIMIR HAVRYLIUK M D P A

Practice address

8818 Arlington Expy
B
Jacksonville, FL 32211-8071

Phone

(904) 221-0014

Fax

(904) 221-9189

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Vladimir Havryliuk, M.D.

Title

Owner

Phone

(904) 221-0014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1609093426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13714 BROMLEY POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252634",
            "telephone_number": "904-220-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 ARLINGTON EXPY",
            "address_2": "B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322118071",
            "telephone_number": "904-221-0014",
            "fax_number": "904-221-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLADIMIR HAVRYLIUK M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HAVRYLIUK",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-221-0014",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, 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 Apr 20, 2008; 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.