Kielmovitch, Izak
Kielmovitch, Izak is an individual health care provider with primary practice located at 133 Benmore Dr Ste 100, Winter Park FL 32792-4143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kielmovitch, Izak can be contacted via phone (407) 644-4883.Contact Information
Primary practice address
133 Benmore Dr Ste 100
Winter Park FL 32792-4143
Phone: (407) 644-4883
Fax: (407) 644-3697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME59630 | Florida |
Profile Details
| NPI number | 1326042672 |
|---|---|
| LBN Legal business name | Kielmovitch, Izak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | May 7th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326042672 | NPPES |
| Other | 01106345 | AMERIGROUP | |
| MEDICAID | 054553800 | AMERIGROUP | |
| Other | ME0059630 | AMERIGROUP | |
| Other | 040006660 | AMERIGROUP | |
| Other | 040006661 | AMERIGROUP | |
| Other | 12335 | AMERIGROUP |
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