Individual provider · Type 1 NPI

Ruslan Fedkiv

Primary Care Nurse Practitioner · Boca Raton, FL

NPI number 1366300485 Active

Practice location

18037 Mambo Dr
Boca Raton, FL 33496-4113

Call (917) 309-6339 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X11036129 (FL)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1366300485

Ruslan Fedkiv's National Provider Identifier is 1366300485, issued on Jan 15, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boca Raton, FL. The record was last updated on Jan 15, 2026.