Ivankiv, Roman
Ivankiv, Roman is an sole proprietor health care provider with primary practice located at 1740 Tree Blvd Ste 112 , St Augustine FL 32084-5720. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Ivankiv, Roman can be contacted via phone (904) 826-1900.Contact Information
Primary practice address
1740 Tree Blvd Ste 112
St Augustine FL 32084-5720
Phone: (904) 826-1900
Fax: (904) 826-1920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 338 | Alabama |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO4215 | Florida |
Profile Details
| NPI number | 1528517331 |
|---|---|
| LBN Legal business name | Ivankiv, Roman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2016 |
| Last updated | Mar 28th, 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.
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