Fitch, Dwight L.

Fitch, Dwight L. is an individual health care provider with primary practice located at 5325 E State Road 64 , Bradenton FL 34208-5534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Fitch, Dwight L. can be contacted via phone (941) 220-6263.

Contact Information

Primary practice address
5325 E State Road 64 Bradenton FL 34208-5534
Phone: (941) 220-6263
Fax: (864) 909-9100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME0095935 Florida

Profile Details

NPI number 1871540278
LBN Legal business name Fitch, Dwight L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 23rd, 2022 - about 3 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 1871540278 NPPES
Florida Other 363218 WELLCARE PROVIDER #
Florida Other OV540 WELLCARE PROVIDER #
Florida Other OV541 WELLCARE PROVIDER #
Florida Other ME95935 WELLCARE PROVIDER #
Florida MEDICAID 276150500 WELLCARE PROVIDER #
Florida Other 53040 WELLCARE PROVIDER #
Florida Other 7229796 WELLCARE PROVIDER #
Florida Other 4969206 WELLCARE PROVIDER #
Florida Other P00348796 WELLCARE PROVIDER #

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