Zdancewicz, Alissa B

Zdancewicz, Alissa B is an individual health care provider with primary practice located at 1611 53Rd Ave W , Bradenton FL 34207-2868. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Zdancewicz, Alissa B can be contacted via phone (941) 753-9599.

Contact Information

Primary practice address
1611 53Rd Ave W Bradenton FL 34207-2868
Phone: (941) 753-9599
Fax: (941) 755-9261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3140 Florida

Profile Details

NPI number 1154368207
LBN Legal business name Zdancewicz, Alissa B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 11th, 2010 - about 14 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 1154368207 NPPES
Florida MEDICAID 340523100

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