David M Bortnick Phd Psy D Pa

LBN: David M Bortnick Phd Psy D Pa
David M Bortnick Phd Psy D Pa is an health care organization with primary practice located at 1750 Tree Blvd Ste 5 , St Augustine FL 32084-5719. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. David M Bortnick Phd Psy D Pa can be contacted via phone (904) 342-0672, or through Bortnick, David M via phone (904) 392-1687.

Contact Information

Primary practice address
1750 Tree Blvd Ste 5 St Augustine FL 32084-5719
Phone: (904) 342-0672
Fax: (904) 342-0673
Website:
Map and Directions
Authorized official contact:
Name: Bortnick, David M PHD PSYD ABN
Phone: (904) 392-1687

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY2065 Florida

Profile Details

NPI number 1225560949
LBN Legal business name David M Bortnick Phd Psy D Pa
DBA Doing business as
Authorized official Bortnick, David M PHD PSYD ABN
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2017
Last updated Jan 6th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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