BORIS HAVKIN (NPI# 1609867696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609867696 |
| Entity Type | Individual |
| Full Name | BORIS HAVKIN |
| Credential | MD |
| Practice Address |
3021 W Eau Gallie Blvd Melbourne FL 32934-7005 |
| Mailing Address |
3021 W Eau Gallie Blvd Ste 103 Melbourne FL 32934-7005 |
| Practice Telephone | 3215004545 |
| Practice Fax Number | 3214254000 |
| Mailing Telephone | 3215004545 |
| Mailing Fax Number | 3214254000 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME90111 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 37966 | 01 |
| FL | 269433600 | 05 | |
| FL | RR MEDICARE | P01164118 | 01 |
| Street Address |
3021 W EAU GALLIE BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679934996 | Boris Havkin Pllc | Urology | 3021 W Eau Gallie Blvd, Suite 103, Melbourne, FL 32934-7005 | 2016-03-14 |
| 1811007651 | Esmat Asham Gayed | Family Medicine | 3021 W Eau Gallie Blvd, Suite 101, Melbourne, FL 32934-7005 | 2006-08-30 |
| 1376552349 | Medical Associates of Brevard LLC | Clinic/Center | 3021 W Eau Gallie Blvd, Suite 101, Melbourne, FL 32934 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1144477795 | Matei T Andreoiu | Urology | 8725 N Wickham Rd Ste 202, Melbourne, FL 32940-2240 | 2008-08-26 |
| 1881869089 | Bassem M Eldaif | Urology | 6032 Farcenda Pl Ste 102, Melbourne, FL 32940 | 2008-04-28 |
| 1346462710 | Om Urology LLC | Urology | 3160 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-7204 | 2007-05-03 |
| 1598718504 | Noone Urology | Urology | 2202 S Babcock St, Suite 101, Melbourne, FL 32901-5370 | 2006-05-19 |
| 1649256256 | Peter P Zabinski | Urology | 1405 Pine St, Melbourne, FL 32901-3118 | 2005-12-16 |
| 1245231190 | Douglas P Sorensen | Urology | 200 Michigan Ave, Melbourne, FL 32901-3100 | 2005-08-02 |
| 1750882247 | Bassem Eldaif Md Pa | Urology | 6032 Farcenda Pl Ste 102, Melbourne, FL 32940 | 2018-02-21 |
| 1679934996 | Boris Havkin Pllc | Urology | 3021 W Eau Gallie Blvd, Suite 103, Melbourne, FL 32934-7005 | 2016-03-14 |
| 1619262250 | Shiv B Patel | Urology | 1223 Gateway Dr Ste 2a, Melbourne, FL 32901-2607 | 2011-06-11 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.