Krivoshik, Mark P.

Krivoshik, Mark P. is an individual health care provider with primary practice located at 1221 W Stratford Rd , Avon Park FL 33825-8091. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Krivoshik, Mark P. can be contacted via phone (863) 453-2500.

Contact Information

Primary practice address
1221 W Stratford Rd Avon Park FL 33825-8091
Phone: (863) 453-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA5324300 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05324300 New Jersey

Profile Details

NPI number 1669409306
LBN Legal business name Krivoshik, Mark P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 9th, 2024 - about last year

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 1669409306 NPPES
New Jersey MEDICAID 1576801

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