| Doctor Name: | YEKATERINA N BELOUSOV |
| NPI Number: | 1861758385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | |
| Business Practice Address: | 21097 Ne 27th Ct Suite 205 Aventura, FL - 331801204 |
| Business Phone Number: | 3056829877 |
| Business Fax Number: | 3056821602 |
| Mailing Address: | 900 S Pine Island Rd, Suite 800 PLANTATION |
| State: | FL |
| Postal Code: | 333243920 |
| Phone Number: | 9549657331 |
| Fax Number: | 9549657339 |
| NPI Enumeration Date: | 04/10/2012 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |