Divita, David P

Divita, David P is an individual health care provider with primary practice located at 1120 10Th St E , Palmetto FL 34221-4134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Divita, David P can be contacted via phone (941) 847-7903.

Contact Information

Primary practice address
1120 10Th St E Palmetto FL 34221-4134
Phone: (941) 847-7903
Fax: (941) 847-7919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME86246 Florida

Profile Details

NPI number 1205821303
LBN Legal business name Divita, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 6th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205821303 NPPES
Florida MEDICAID 267953100
Florida Other 080194322
Florida Other 57812

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