Divito, John

Divito, John is an individual health care provider with primary practice located at 3530 Fruitville Rd , Sarasota FL 34237-9026. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Divito, John can be contacted via phone (941) 552-8808.

Contact Information

Primary practice address
3530 Fruitville Rd Sarasota FL 34237-9026
Phone: (941) 552-8808
Fax: (941) 552-8805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101034 Florida

Profile Details

NPI number 1447286430
LBN Legal business name Divito, John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 26th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447286430 NPPES
Florida MEDICAID 292127800

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