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
Phone: (407) 845-8354
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME117485 | Florida |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME117435 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174591598 | NPPES |
Florida | Other | 14V0A | FLORIDA BLUE |
Florida | MEDICAID | 011135100 | FLORIDA BLUE |
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