Provider Demographics
NPI:1033177878
Name:TURCHIN, SERGEY (MD)
Entity Type:Individual
Prefix:DR
First Name:SERGEY
Middle Name:
Last Name:TURCHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CYPRESS EDGE DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8453
Mailing Address - Country:US
Mailing Address - Phone:386-586-1790
Mailing Address - Fax:386-586-1791
Practice Address - Street 1:120 CYPRESS EDGE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8453
Practice Address - Country:US
Practice Address - Phone:386-586-1790
Practice Address - Fax:386-586-1791
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL81633YMedicare ID - Type Unspecified
I07300Medicare UPIN