EVGENY IDRISOV

SARASOTA, FL
NPI1689061830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: OK  Pending)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  ME131245)
207RG0100X Internal Medicine, Gastroenterology
(Licence: FL  ME131245)
207R00000X Internal Medicine
(Licence: FL  TRN21341)
Enumeration Date2015-04-24
Last Update Date2022-07-05
Business Address
EVGENY IDRISOV MD
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Phone number: 941-917-4896
Mailing Address
EVGENY IDRISOV MD
PO BOX 863407
ORLANDO, FL 32886-3407
Phone number: 941-917-2600