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Contact Information

GENNADIY VENGEROVICH
10150 HAGEN RANCH RD
BOYNTON BEACH, FL33437
 Phone: 561-736-8141
 Fax:
 Website: https://floridaentcare.com/bio/gennadiy-vengerovich-md/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GENNADIY VENGEROVICH · (Male)

NPI Number 1477708907
Status Active
Credentials
Entity Individual
Enumeration date 11/25/2008
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME116592
  • NY License # ME116592
Hospital affiliation(s)
  • BETHESDA MEMORIAL HOSPITAL - (Acute Care)
    2815 S SEACREST BLVD
    BOYNTON BEACH, FL 33435
  • JFK MEDICAL CENTER - (Acute Care)
    5301 S CONGRESS AVE
    ATLANTIS, FL 33462
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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