Dziadik, Stephen Patrick

Dziadik, Stephen Patrick is an individual health care provider with primary practice located at 601 7Th St S Ste 205 , St Petersburg FL 33701-4748. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Dziadik, Stephen Patrick can be contacted via phone (727) 553-7450.

Contact Information

Primary practice address
601 7Th St S Ste 205 St Petersburg FL 33701-4748
Phone: (727) 553-7450
Fax: (727) 553-7451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101057 Florida

Profile Details

NPI number 1457478133
LBN Legal business name Dziadik, Stephen Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 8th, 2021 - about 4 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 1457478133 NPPES
Florida MEDICAID 290773900

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