Dmytrenko, George Michael

Dmytrenko, George Michael is an individual health care provider with primary practice located at 5153 N 9Th Ave , Pensacola FL 32504-8785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dmytrenko, George Michael can be contacted via phone (850) 416-2554.

Contact Information

Primary practice address
5153 N 9Th Ave Pensacola FL 32504-8785
Phone: (850) 416-2554
Fax: (850) 416-2536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME0062184 Florida

Profile Details

NPI number 1104833557
LBN Legal business name Dmytrenko, George Michael
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 24th, 2010 - about 14 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 1104833557 NPPES
Florida MEDICAID 371074200

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