Provider Demographics
NPI:1609014976
Name:PURYGIN, ARKADIY V (DO)
Entity Type:Individual
Prefix:DR
First Name:ARKADIY
Middle Name:V
Last Name:PURYGIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 SW 74TH CT
Mailing Address - Street 2:SUITE 1402
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3171
Mailing Address - Country:US
Mailing Address - Phone:305-271-4487
Mailing Address - Fax:305-907-5257
Practice Address - Street 1:8950 SW 74TH CT
Practice Address - Street 2:SUITE 1402
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3171
Practice Address - Country:US
Practice Address - Phone:305-271-4487
Practice Address - Fax:305-907-5257
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 9336207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL29414AOtherMEDICARE
FL29414OtherBCBS
FL2728231 00Medicaid
FL29414OtherBCBS