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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447286430 | NPPES |
| Florida | MEDICAID | 292127800 |
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