Chervenick, Paul
Chervenick, Paul is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr Mdc 44, Tampa FL 33612-9416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Chervenick, Paul can be contacted via phone (813) 745-3980.Contact Information
Primary practice address
12902 Usf Magnolia Dr Mdc 44
Tampa FL 33612-9416
Phone: (813) 745-3980
Fax: (813) 558-1602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME68600 | Florida |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME68600 | Florida |
Profile Details
| NPI number | 1801826508 |
|---|---|
| LBN Legal business name | Chervenick, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Dec 28th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801826508 | NPPES |
| Florida | Other | 23102 | BLUE CROSS BLUE SHIELD |
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