Tsalickis, Dimitri Michael

Tsalickis, Dimitri Michael is an individual health care provider with primary practice located at 11178 State Road 54 Ste A , New Port Richey FL 34655-2266. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tsalickis, Dimitri Michael can be contacted via phone (727) 372-4200.

Contact Information

Primary practice address
11178 State Road 54 Ste A New Port Richey FL 34655-2266
Phone: (727) 372-4200
Fax: (727) 333-6371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS17144 Florida

Profile Details

NPI number 1700373669
LBN Legal business name Tsalickis, Dimitri Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2018
Last updated Aug 24th, 2022 - about 4 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 1700373669 NPPES
Florida MEDICAID 111342800

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