MEDICARE: DRS. KOVACS & RESNICK, PA

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
1	2084N0400X	Neurology Physician	ME 41688	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700835378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. KOVACS & RESNICK, PA

Provider Business Mailing Address
First Line	:	1111 KANE CONCOURSE
Second Line	:	SUITE 504
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2029
Country	:	US
Telephone Number	:	305-865-1995
Fax Number	:	305-866-1844

Provider Business Practice Location Address
First Line	:	1111 KANE CONCOURSE
Second Line	:	SUITE 504
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2029
Country	:	US
Telephone Number	:	305-865-1995
Fax Number	:	305-866-1844

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. STEVEN RESNICK
Credential	:	DO
Telephone Number	:	305-865-1995

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	11/30/2009

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