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Contact Information

DIMITRI NOVITZKY, MD
1001 N MACDILL AVE STE B
TAMPA, FL33607
 Phone: 813-675-4849
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DIMITRI NOVITZKY · (Male)

NPI Number 1215972526
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 05/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME61367
  • FL Medicaid 064781100
  • Other 1215972526 MEDICARE NPI
  • FL Other 11642 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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