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Contact Information

NIKOLAI X LINCAVAGE, CST, SA-C
29277 US HIGHWAY 19 N # 29277
CLEARWATER, FL33761-2102
 Phone: 727-313-4764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NIKOLAI X LINCAVAGE · (Male)

NPI Number 1326685991
Status Active
Credentials CST, SA-C
Entity Individual
Enumeration date 12/03/2019
Last updated 03/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • License # 19-469
  • Other 19-469 ABSA
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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