Prytkov, Alexei Mikhailovich

Prytkov, Alexei Mikhailovich is an individual health care provider with primary practice located at 10870 Us One N Unit 104 , Ponte Vedra FL 32081-7804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Prytkov, Alexei Mikhailovich can be contacted via phone (904) 438-2720.

Contact Information

Primary practice address
10870 Us One N Unit 104 Ponte Vedra FL 32081-7804
Phone: (904) 438-2720
Fax: (904) 212-1711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME123293 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME123293 Florida

Profile Details

NPI number 1629022157
LBN Legal business name Prytkov, Alexei Mikhailovich
Credentials M.D, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 27th, 2020 - about 4 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 1629022157 NPPES
Florida MEDICAID 017980600
Florida Other UJG97

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