STANISLAV ASENOV IVANOV

TAMPA, FL
NPI1821585886
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: FL  ME150551)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-16
Last Update Date2025-08-04
Business Address
STANISLAV ASENOV IVANOV MD
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-7365
Mailing Address
STANISLAV ASENOV IVANOV MD
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-7365