Rusovici, Daniela E

Rusovici, Daniela E is an individual health care provider with primary practice located at 5005 Port St John Pkwy Suite 2200, Port St John FL 32927-4305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as her primary health care specialty. Rusovici, Daniela E can be contacted via phone (321) 633-8660.

Contact Information

Primary practice address
5005 Port St John Pkwy Suite 2200 Port St John FL 32927-4305
Phone: (321) 633-8660
Fax: (321) 633-8617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X ME103609 Florida

Profile Details

NPI number 1801964788
LBN Legal business name Rusovici, Daniela E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Feb 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801964788 NPPES
Florida MEDICAID 002534800

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