Novreske, Kevin

Novreske, Kevin is an sole proprietor health care provider with primary practice located at 1320 Ne 2Nd Ave , Fort Lauderdale FL 33304-1020. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Novreske, Kevin can be contacted via phone (954) 467-9019.

Contact Information

Primary practice address
1320 Ne 2Nd Ave Fort Lauderdale FL 33304-1020
Phone: (954) 467-9019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 62500 Florida

Profile Details

NPI number 1407146160
LBN Legal business name Novreske, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2011
Last updated Apr 15th, 2011 - about 15 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 1407146160 NPPES
Florida MEDICAID 677739200

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