Bortnick, David M

Bortnick, David M is an individual health care provider with primary practice located at 1750 Tree Blvd Ste 5 , St Augustine FL 32084-5719. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Bortnick, David M can be contacted via phone (904) 342-0672.

Contact Information

Primary practice address
1750 Tree Blvd Ste 5 St Augustine FL 32084-5719
Phone: (904) 342-0672
Fax: (904) 342-0673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY2065 Florida

Profile Details

NPI number 1356308530
LBN Legal business name Bortnick, David M
Credentials PHD PSYD ABN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2006
Last updated Jan 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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