| Doctor Name: | DR. VYACHESLAV MAKAROV |
| NPI Number: | 1053572511 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M |
| License Number: | PO3522 |
| Business Practice Address: | 1400 Ne Miami Gardens Dr Suite 105 North Miami Beach, FL - 331794845 |
| Business Phone Number: | 3059745933 |
| Business Fax Number: | 3059745196 |
| Mailing Address: | 1400 Ne Miami Gardens Dr, Suite 105 NORTH MIAMI BEACH |
| State: | FL |
| Postal Code: | 331794845 |
| Phone Number: | 3059745933 |
| Fax Number: | 3059745196 |
| NPI Enumeration Date: | 06/18/2008 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO3522 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |