Novitzky, Dimitri

Novitzky, Dimitri is an individual health care provider with primary practice located at 1001 N Macdill Ave Ste B , Tampa FL 33607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Novitzky, Dimitri can be contacted via phone (813) 675-4849.

Contact Information

Primary practice address
1001 N Macdill Ave Ste B Tampa FL 33607
Phone: (813) 675-4849
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME61367 Florida

Profile Details

NPI number 1215972526
LBN Legal business name Novitzky, Dimitri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated May 27th, 2019 - about 7 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 1215972526 NPPES
Florida MEDICAID 064781100
Florida Other 11642
Florida Other 1215972526

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