Stoev, Ivan Todorov

Stoev, Ivan Todorov is an individual health care provider with primary practice located at 10050 Sw Innovation Way Ste 102 , Port St Lucie FL 34987-2117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Stoev, Ivan Todorov can be contacted via phone (772) 288-5862.

Contact Information

Primary practice address
10050 Sw Innovation Way Ste 102 Port St Lucie FL 34987-2117
Phone: (772) 288-5862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 118628 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 58569 Tennessee

Profile Details

NPI number 1730119595
LBN Legal business name Stoev, Ivan Todorov
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 15th, 2022 - about 2 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 1730119595 NPPES
Florida MEDICAID 011056100

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