Starostik, Petr

Starostik, Petr is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100275 , Gainesville FL 32610-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Starostik, Petr can be contacted via phone (352) 273-7842.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100275 Gainesville FL 32610-0001
Phone: (352) 273-7842
Fax: (352) 273-8172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 225348 New York
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X ME121219 Florida

Profile Details

NPI number 1720069594
LBN Legal business name Starostik, Petr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 22nd, 2017 - about 8 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 1720069594 NPPES
Florida MEDICAID 013022800
Florida MEDICAID 02313702

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