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NPI 1215579099ActiveOrganization· Specialist· Hollywood, FL

Specialist in Hollywood, Florida, registered in NPPES in October 2019. The authorized official on file is Mikhail Kucher, Owner.

Overview

NPI1215579099
StatusActive
Entity typeOrganization
NPI issuedOct 13, 2019
Last updated in NPPESOct 17, 2022
Certified by providerOct 17, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——
Early Intervention Provider Agency252Y00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Hollywood

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