ROMAN YUSUPOV

HOLLYWOOD, FL
NPI1972703676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
(Licence: FL  ME 107047)
Enumeration Date2007-07-20
Last Update Date2021-03-16
Business Address
ROMAN YUSUPOV MD
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021-5403
Phone number: 954-265-6319
Mailing Address
ROMAN YUSUPOV MD
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685
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