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Contact Information

JIMMY B SERVETAS, DO
653 CANTER CT
AVON LAKE, OH44012-4026
 Phone: 440-930-5850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JIMMY B SERVETAS · (Male)

NPI # 1306045265
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/12/2007
Last updated 11/21/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS11391
Hospital affiliation(s)
  • BROWARD HEALTH CORAL SPRINGS - (Acute Care)
    3000 CORAL HILLS DR
    CORAL SPRINGS, FL 33065
  • NORTHWEST MEDICAL CENTER - (Acute Care)
    2801 N STATE RD 7
    MARGATE, FL 33063
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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