Krivoshik, Mark P.
Krivoshik, Mark P. is an individual health care provider with primary practice located at 1221 W Stratford Rd , Avon Park FL 33825-8091. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Krivoshik, Mark P. can be contacted via phone (863) 453-2500.Contact Information
Primary practice address
1221 W Stratford Rd
Avon Park FL 33825-8091
Phone: (863) 453-2500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA5324300 | New Jersey |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA05324300 | New Jersey |
Profile Details
NPI number | 1669409306 |
---|---|
LBN Legal business name | Krivoshik, Mark P. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
Last updated | May 9th, 2024 - about 4 months 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 | 1669409306 | NPPES |
New Jersey | MEDICAID | 1576801 |
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