Jivitski, Andrej

Jivitski, Andrej is an individual health care provider with primary practice located at 700 Doctors Ct , Leesburg FL 34748-7314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jivitski, Andrej can be contacted via phone (352) 787-9838.

Contact Information

Primary practice address
700 Doctors Ct Leesburg FL 34748-7314
Phone: (352) 787-9838
Fax: (352) 787-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C10006841 Delaware
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD28379 Maine
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME119527 Florida

Profile Details

NPI number 1841286408
LBN Legal business name Jivitski, Andrej
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 3rd, 2024 - about last year

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 1841286408 NPPES
Florida MEDICAID 014042100
Florida Other 14Z03
Florida MEDICAID 1841286408

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