Dmytrenko, George Michael
Dmytrenko, George Michael is an individual health care provider with primary practice located at 5153 N 9Th Ave , Pensacola FL 32504-8785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dmytrenko, George Michael can be contacted via phone (850) 416-2554.Contact Information
Primary practice address
5153 N 9Th Ave
Pensacola FL 32504-8785
Phone: (850) 416-2554
Fax: (850) 416-2536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME0062184 | Florida |
Profile Details
| NPI number | 1104833557 |
|---|---|
| LBN Legal business name | Dmytrenko, George Michael |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 24th, 2010 - about 16 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 | 1104833557 | NPPES |
| Florida | MEDICAID | 371074200 |
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