Witt, Jeffrey R

Witt, Jeffrey R is an individual health care provider with primary practice located at 560 Jackson St N Suite 100, St Petersburg FL 33705-1405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Witt, Jeffrey R can be contacted via phone (727) 329-1600.

Contact Information

Primary practice address
560 Jackson St N Suite 100 St Petersburg FL 33705-1405
Fax: (727) 329-1694
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME38294 Florida

Profile Details

NPI number 1952363343
LBN Legal business name Witt, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Sep 27th, 2013 - about 11 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 1952363343 NPPES
Florida MEDICAID 65517100

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