Diaczyk, Andrew J

Diaczyk, Andrew J is an sole proprietor health care provider with primary practice located at 4887 34Th St S , St Petersburg FL 33711-4509. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Diaczyk, Andrew J can be contacted via phone (727) 864-4047.

Contact Information

Primary practice address
4887 34Th St S St Petersburg FL 33711-4509
Phone: (727) 864-4047
Fax: (727) 864-0060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 1348 Florida

Profile Details

NPI number 1902953433
LBN Legal business name Diaczyk, Andrew J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 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.

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