Mavretich, Brian Lawrence

Mavretich, Brian Lawrence is an individual health care provider with primary practice located at 6333 54Th Ave N , St Petersburg FL 33709-1703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mavretich, Brian Lawrence can be contacted via phone (727) 548-6100.

Contact Information

Primary practice address
6333 54Th Ave N St Petersburg FL 33709-1703
Phone: (727) 548-6100
Fax: (727) 497-2322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS17981 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS17981 Florida

Profile Details

NPI number 1013444512
LBN Legal business name Mavretich, Brian Lawrence
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2017
Last updated Jan 24th, 2024 - about 11 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.

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