Kadivar, Ted F

Kadivar, Ted F is an sole proprietor health care provider with primary practice located at 250 2Nd St E Suite 4C, Bradenton FL 34208-1029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kadivar, Ted F can be contacted via phone (941) 744-5860.

Contact Information

Primary practice address
250 2Nd St E Suite 4C Bradenton FL 34208-1029
Fax: (941) 744-5681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0068030 Florida

Profile Details

NPI number 1508898255
LBN Legal business name Kadivar, Ted F
Credentials MD PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jan 19th, 2017 - about 8 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 1508898255 NPPES
Florida Other 593650291 INDIVIDUAL
Florida MEDICAID 377823100 INDIVIDUAL
Florida Other 27168 INDIVIDUAL

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