IndividualActive
Roman Yusupov, MD
NPI 1972703676 · Clinical Genetics (M.D.) Physician · Hollywood, FL
Provider details
- NPI number
- 1972703676
- Entity type
- Individual
- Primary specialty
- Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME 107047 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1131 N 35th Ave Fl 2
Hollywood, FL 33021-5403
Phone: (954) 265-6319
Fax: (954) 276-0166
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Corporate Way
Miramar, FL 33025-3925
Additional practice locations (2)
- 4651 Sheridan St Ste 150Hollywood, FL 33021-3443Phone: (954) 265-6331Fax: (954) 893-6244
- 3377 S State Rd 7Suite 100Wellington, FL 33449Phone: (561) 341-7000Fax: (561) 784-7098
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2021-03-16
- Certified
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.