Tishko, Dennis John

Tishko, Dennis John is an individual health care provider with primary practice located at 661 E Altamonte Dr Ste 324 , Altamonte Springs FL 32701-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Tishko, Dennis John can be contacted via phone (407) 845-8354.

Contact Information

Primary practice address
661 E Altamonte Dr Ste 324 Altamonte Springs FL 32701-5103
Fax:
Website:

Profile Details

NPI number 1174591598
LBN Legal business name Tishko, Dennis John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 20th, 2024 - about last year

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 1174591598 NPPES
Florida Other 14V0A FLORIDA BLUE
Florida MEDICAID 011135100 FLORIDA BLUE

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