Modi, Dixitkumar N

Modi, Dixitkumar N is an individual health care provider with primary practice located at 4350 N Atlantic Ave , Cocoa Beach FL 32931-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Modi, Dixitkumar N can be contacted via phone (334) 327-9530.

Contact Information

Primary practice address
4350 N Atlantic Ave Cocoa Beach FL 32931-3656
Phone: (334) 327-9530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME133520 Florida

Profile Details

NPI number 1124238506
LBN Legal business name Modi, Dixitkumar N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jan 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124238506 NPPES
Florida MEDICAID 023052500
Florida Other ME133520

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