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:
Health care specialties
Specialty | Code | License # | 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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