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 1:4308 ALTON RD STE 880
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4560
Mailing Address - Country:US
Mailing Address - Phone:305-535-0055
Mailing Address - Fax:844-364-0130
Practice Address - Street 1:4308 ALTON RD STE 880
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4560
Practice Address - Country:US
Practice Address - Phone:305-535-0055
Practice Address - Fax:844-364-0130
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2024-11-01
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
FL2728231 00Medicaid
FL29414OtherBCBS
FL29414AOtherMEDICARE
FL29414OtherBCBS