Individual ProviderRitchelle Martinez DubrovskiyPediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 424-7000PECOS EnrollmentBased on the most recent information from CMS, provider Ritchelle Martinez Dubrovskiy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1467764613Provider TypeIndividualFull NameDubrovskiy, Ritchelle MartinezCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date7/4/2010Last Updated10/14/2019Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 424-7000Fax(954) 424-6003Mailing LocationMailing Address900 S Pine Island Rd, Suite 800, Plantation, FL 33324-3920Phone(954) 424-7000Fax(954) 424-6003Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseOS12804FloridaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense274346-130New YorkProvider IdentifiersIDDescriptionIssuerID012132200DescriptionMedicaidIssuerUnlistedFlorida