Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME99799 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME99799 | FL |
NPI | 1801086426 |
---|---|
Provider Name | Jordan Dimitrov Savov |
First Address | Naples, FL 34105-2183 |
Second Address | Naples, FL 34105-2183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 06/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ME99799 | FLORIDA MEDICAL LICENSE (01) | FL |