Dziadik, Stephen Patrick
Dziadik, Stephen Patrick is an individual health care provider with primary practice located at 601 7Th St S Ste 205 , St Petersburg FL 33701-4748. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Dziadik, Stephen Patrick can be contacted via phone (727) 553-7450.Contact Information
Primary practice address
601 7Th St S Ste 205
St Petersburg FL 33701-4748
Phone: (727) 553-7450
Fax: (727) 553-7451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9101057 | Florida |
Profile Details
| NPI number | 1457478133 |
|---|---|
| LBN Legal business name | Dziadik, Stephen Patrick |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jun 8th, 2021 - about 5 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 | 1457478133 | NPPES |
| Florida | MEDICAID | 290773900 |
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