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NPI Code Detail

MEDICARE: MR. DAVID PAVCIK ARNP FNP BC

MEDICARE: MR. DAVID PAVCIK ARNP FNP BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN9269011FL

General Provider Information

NPI Number : 1013390798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID PAVCIK ARNP FNP BC
Provider Business Mailing Address
First Line : 1343 NW SPRUCE RIDGE DR
Second Line :
City : STUART
State : FL
Zip : 34994-9519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3405 NW FEDERAL HWY
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-4439
Country : US
Telephone Number : 772-692-8082
Fax Number : 772-232-9383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 06/30/2015

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