Manashirovs Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MANASHIROVS MEDICAL LLC

Practice address

1965 S Ocean Dr Apt 15F
Hallandale Beach, FL 33009-5924

Phone

(212) 671-2200

NPI assigned

Apr 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ruslan Manashirov, MD

Title

Ceo

Phone

(212) 671-2200

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1770112112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S OCEAN DR APT 15F",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095924",
            "telephone_number": "212-671-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S OCEAN DR APT 15F",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095924",
            "telephone_number": "212-671-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASHIROVS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "MANASHIROV",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-671-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Russellbodies@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1965 S Ocean Dr Apt 15F",
            "city": "Hallandale Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330095924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.