Ikenberry, Todd David

Ikenberry, Todd David is an individual health care provider with primary practice located at 10000 Bay Pines Blvd , Bay Pines FL 33744-8200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ikenberry, Todd David can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Blvd Bay Pines FL 33744-8200
Phone: (727) 398-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 011911 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105419 Florida

Profile Details

NPI number 1760649982
LBN Legal business name Ikenberry, Todd David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Mar 29th, 2013 - about 11 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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